Kathryn Jansen Wallace, NP - Nurse Practitioner in Huntersville, NC

Kathryn Jansen Wallace, NP is a Nurse Practitioner based in Huntersville, North Carolina. Kathryn Jansen Wallace is licensed to practice in North Carolina (license number 5005839) and her current practice location is 14330 Oakhill Park Ln Ste 200, Huntersville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 316-4830.

NPI number for Kathryn Jansen Wallace is 1184976953 and her current mailing address is Po Box 60447, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184976953.

Contact Information

Kathryn Jansen Wallace, NP
14330 Oakhill Park Ln Ste 200,
Huntersville, NC 28078-3407
(704) 316-4830
(704) 316-4831

Map and Direction




Provider's Profile

Full NameKathryn Jansen Wallace
GenderFemale
SpecialityNurse Practitioner
Location14330 Oakhill Park Ln Ste 200, Huntersville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184976953
  • Provider Enumeration Date: 10/04/2012
  • Last Update Date: 05/30/2019

Medical Identifiers

Medical identifiers for Kathryn Jansen Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184976953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5005839 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Jansen Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Jansen Wallace, NP
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 316-4830
Kathryn Jansen Wallace, NP
14330 Oakhill Park Ln Ste 200,
Huntersville, NC 28078-3407

Ph: (704) 316-4830

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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