HEATHER MARIE WALLACE (NP) – Family Nurse Practitioner, NPI 1275075400

Family Nurse Practitioner

HEATHER MARIE WALLACE (NP) is a healthcare provider. based in Strasburg, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024174206 (VA). The NPI Number for HEATHER MARIE WALLACE (NP) is 1275075400

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

HEATHER MARIE WALLACE (NP)

NPI

1275075400

Phone

(540) 459-1310

Address

33820 Old Valley Pike Ste 2

Enumeration Date

4 November 2016

Last Update Date

2 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5403139200

Graduation Year

2016 (10 years ago)

PAC ID

0244510113

Group Practice PAC ID

8426151036

Professional Enrollment ID

I20161212000511

Address ID

VA226013876WI333XXSTXX401

Telehealth

Yes

Contacts

Secure Messaging

hwallace121304@soc.inova.org

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness85

Years active:9State licenses:1Other namesUpdated within 12 months

8,359 NURSE PRACTITIONER in VA

Provider Addresses for HEATHER MARIE WALLACE (NP)

33820 Old Valley Pike Ste 2
Strasburg, VA 226573793
Phone: (540) 459-1310
Type: Location
190 Campus Blvd Ste 310
Winchester, VA 226012872
Phone: (540) 536-0130
Fax: (540) 536-0140
Type: Location
1840 Amherst St
Winchester, VA 226012808
Phone: (540) 536-8000
Type: Location
607 E Jubal Early Dr
Winchester, VA 226015178
Phone: (540) 536-2232
Type: Location
100, Campus Boulevard, Winchester, Frederick County, Virginia, 22601, United States
WINCHESTER, VA 226012888
Phone: (540) 536-5100
Fax: (540) 536-0235
Type: Mailing
190 CAMPUS BLVD STE 310
WINCHESTER, VA 226012872
Phone: (540) 536-0130
Fax: (540) 536-0140
Type: Location
333 W CORK ST UNIT 405
WINCHESTER, VA 226013876
Phone: (540) 313-9266
Fax: (540) 301-5466
Type: Mailing
160 Merchant St Ste 200
Winchester, VA 226034772
Phone: (540) 536-5950
Type: Location
415A South St
Front Royal, VA 226302115
Phone: (540) 636-0495
Type: Location
65 Riverton Commons Dr
Front Royal, VA 226306768
Phone: (540) 635-0700
Type: Location
Amherst Street, Winchester, Winchester City, Virginia, 222601, United States
WINCHESTER, VA 226012841
Phone: (540) 536-0110
Fax: (540) 536-0135
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Smith+Nephew, Inc. ($54).

Total Amount

$74

General + Research + Ownership

Payments

Total payment records

General Amount

$74

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Smith+Nephew, Inc.	$54
ABIOMED	$20

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20161212000511	I	Nurse Practitioner	VA	TBD
I20180228002910	I	Nurse Practitioner	WV	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	21	18	$0

View full utilization report →

Insurance plans in this area (ZIP 22657)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8426151036View full group profile

Name	Specialty	State
JULIE ANN LANDRIO (M.D.)	Internal Medicine	VA
JENNIFER DAGG	Nurse Practitioner	WV
MRS. TAMARA B SHEARROW (N.P.)	Nurse Practitioner	VA
CRYSTAL DAWN HARRIS (FNP)	Nurse Practitioner	VA