MS. MICHELLE WALLACE (NP) – Women's Health Nurse Practitioner, NPI 1699804641
Women's Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. MICHELLE WALLACE (NP)
3075 GOVERNORS PLACE BLVD
SUITE 210
KETTERING, OH 454091323
Phone: (937) 293-5200
Type: Mailing
8350 E KEMPER RD STE A
CINCINNATI, OH 452491684
Phone: (513) 404-4166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $919.
Total Amount is formed as General ($919) + Research ($0) + Ownership ($0) = $919.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($233).
Total Amount
$919
General + Research + Ownership
Payments
39
Total payment records
General Amount
$919
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $233 |
| Vertos Medical, Inc. | $198 |
| Novo Nordisk Inc | $152 |
| MAYNE PHARMA COMMERCIAL LLC | $100 |
| Gynesonics, Inc. | $65 |
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: 2022-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220311001412 | I | Nurse Practitioner | OH | TBD |
| I20220322002536 | I | Nurse Practitioner | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45409)
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