MAGGIE MAE WALLACE – Family Nurse Practitioner, NPI 1366098642

MAGGIE MAE WALLACE is a healthcare provider. based in Burlington, Connecticut. specializing in Family Nurse Practitioner. They hold a License No. 8373 (CT). The NPI Number for MAGGIE MAE WALLACE is 1366098642

Main info

Female
Name
MAGGIE MAE WALLACE
NPI
1366098642
Phone
(860) 808-6413
Address
24 WOODHAVEN DR
Enumeration Date
13 August 2019
Last Update Date
13 November 2023

Contacts

Secure Messaging
maggie.wallace.1@1599.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

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Provider Addresses for MAGGIE MAE WALLACE

  • 24, Woodhaven Drive, Burlington, Hartford County, Connecticut, 06013, United States

    BURLINGTON, CT 060132401

    Phone: (860) 808-6413

    Type: Mailing

  • East Main Street, Torrington, Litchfield County, Connecticut, 06790, United States

    TORRINGTON, CT 067903963

    Phone: (860) 264-4176

    Type: Location

  • 200 OFFICE PARK DR

    GULF SHORES, AL 365423432

    Phone: (512) 968-7379

    Fax: (251) 968-5960

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-03-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$13
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes216120$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days14421$0
99213Established patient office or other outpatient visit, 20-29 minutes13397$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes6718$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5959$0
View full utilization report →

Insurance plans in this area (ZIP 06013)

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Reviews

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Frequently asked questions

Where can patients find MAGGIE MAE WALLACE's NPI?
You can confirm MAGGIE MAE WALLACE with NPI 1366098642; it appears in the national provider directory.
Is MAGGIE MAE WALLACE's NPI currently valid?
The extract we use shows MAGGIE MAE WALLACE as active.
What kind of provider is MAGGIE MAE WALLACE?
The page reflects Family Nurse Practitioner for MAGGIE MAE WALLACE. Clinical services aligned with this taxonomy classification.
Where does public data place MAGGIE MAE WALLACE?
The snapshot lists Burlington, Connecticut for MAGGIE MAE WALLACE; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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