VICKI WALLACE (NP) – Acute Care Nurse Practitioner, NPI 1689640195
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
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Provider Addresses for VICKI WALLACE (NP)
1101, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
SUITE 211
FREDERICKSBURG, VA 22401
Phone: (540) 372-7792
Fax: (540) 372-2073
Type: Mailing
Elite Women's Health, 1101, Sam Perry Boulevard, Normandy Village, Fredericksburg, Virginia, 22401, United States
SUITE 211
FREDERICKSBURG, VA 22401
Phone: (540) 372-7792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $2,801.
Total Amount is formed as General ($2,801) + Research ($0) + Ownership ($0) = $2,801.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($2,187).
Total Amount
$2,801
General + Research + Ownership
Payments
50
Total payment records
General Amount
$2,801
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $2,187 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $207 |
| Ethicon US, LLC | $151 |
| Medtronic, Inc. | $121 |
| Philips North America LLC | $39 |
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: 2009-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20090330000415 | I | Nurse Practitioner | VA | 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.
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 | 64 | 53 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 29 | 29 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 18 | 18 | $0 |
Insurance plans in this area (ZIP 22401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| E N D O C R I N O L O G Y | GA | |
| - | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| - | OH | |
| - | VA | |
| U R O L O G Y | IL | |
| - | VA |
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