Kristen Wallace, FNP-C in Flowood, MS - Medicare Nurse Practitioner

Kristen Wallace, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Flowood, Mississippi. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 2470 Flowood Dr, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 664-1213.

Kristen Wallace is licensed to practice in Mississippi (license number 901914) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679019350.

Contact Information

	Kristen Wallace, FNP-C
	2470 Flowood Dr, Flowood, MS 39232-9019
	(601) 664-1213
	(601) 932-8869

Map and Direction

Provider's Profile

Full Name	Kristen Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	2470 Flowood Dr, Flowood, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristen Wallace graduated from nursing school in 2016

NPI Data:

NPI Number: 1679019350
Provider Enumeration Date: 01/18/2017
Last Update Date: 01/18/2017

Medicare PECOS Information:

PECOS PAC ID: 4789967373
Enrollment ID: I20170206000614

Medical Identifiers

Medical identifiers for Kristen Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679019350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	901914 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Med Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Wallace allows following entities to bill medicare on her behalf.

Entity Name	Newsouth Neurospine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326222548 PECOS PAC ID: 2163591579 Enrollment ID: O20080527000108

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Kristen Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristen Wallace, FNP-C 2470 Flowood Dr, Flowood, MS 39232-9019 Ph: (601) 664-1213	Kristen Wallace, FNP-C 2470 Flowood Dr, Flowood, MS 39232-9019 Ph: (601) 664-1213

Reviews and Comments

Nurse Practitioner Nurses in Flowood, MS

Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151
Jane Denton Desper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151

Kristen Wallace, FNP-C - Medicare Nurse Practitioner in Flowood, MS