EVELINE S. WALLACE (ARNP) – Adult Health Nurse Practitioner, NPI 1427058932

EVELINE S. WALLACE (ARNP) is a healthcare provider. based in Richland, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 1728202 (FL). The NPI Number for EVELINE S. WALLACE (ARNP) is 1427058932

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
EVELINE S. WALLACE (ARNP)
NPI
1427058932
Phone
(509) 946-4611
Address
888 Swift Blvd
Enumeration Date
26 July 2005
Last Update Date
11 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7072672070
Graduation Year
2001 (25 years ago)
PAC ID
8426052994
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20191118003052
Address ID
CA955034866EU2773XSTXX302
Telehealth
Yes

Contacts

Secure Messaging
ewallace1658431@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

6,261 NURSE PRACTITIONER in WA

Provider Addresses for EVELINE S. WALLACE (ARNP)

  • 888 Swift Blvd

    Richland, WA 993523514

    Phone: (509) 946-4611

    Type: Location

  • Panera Bread, 2415, North Orange Avenue, Orlando, Orange County, Florida, 32804, United States

    SUITE # 700

    ORLANDO, FL 328045505

    Phone: (407) 303-7171

    Fax: (407) 303-7195

    Type: Mailing

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 $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Boston Scientific Corporation ($144).

Total Amount

$229

General + Research + Ownership

Payments

3

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-08-30

PECOS data refreshed: 2026-05-27

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

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191118003052INurse PractitionerCATBD
I20220830002492INurse PractitionerORTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes356307$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8681$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6048$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing2121$0
View full utilization report →

Insurance plans in this area (ZIP 99352)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

What identifier follows EVELINE S. WALLACE (ARNP) across health systems?
The NPI 1427058932 uniquely identifies EVELINE S. WALLACE (ARNP) in U.S. healthcare data.
Does the public listing show EVELINE S. WALLACE (ARNP) as active?
EVELINE S. WALLACE (ARNP)'s NPI record reflects an active status in NPPES.
How should patients interpret EVELINE S. WALLACE (ARNP)'s specialty?
The extract shows Adult Health Nurse Practitioner for EVELINE S. WALLACE (ARNP). Clinical services aligned with this taxonomy classification.
Which community is linked to EVELINE S. WALLACE (ARNP)?
EVELINE S. WALLACE (ARNP) shows a connection to Richland, Washington in registry-derived data.
Why is information missing for EVELINE S. WALLACE (ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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