Lourdes Ivette Wallace, AGACNP-BC - Medicare in Boerne, TX

Lourdes Ivette Wallace, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Boerne, Texas. Her current practice location is 113 Pleasant Valley Dr Ste 210, Boerne, Texas. You can reach out to her office (for appointments etc.) via phone at (830) 267-4575.

Lourdes Ivette Wallace is licensed to practice in Texas (license number AP126548) 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 1659773869.

Contact Information

Lourdes Ivette Wallace, AGACNP-BC
113 Pleasant Valley Dr Ste 210,
Boerne, TX 78006-5683
(830) 267-4575
(830) 267-4575

Map and Direction




Provider's Profile

Full NameLourdes Ivette Wallace
GenderFemale
Speciality
Experience Years
Location113 Pleasant Valley Dr Ste 210, Boerne, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lourdes Ivette Wallace attended and graduated from in
  NPI Data:
  • NPI Number: 1659773869
  • Provider Enumeration Date: 09/18/2014
  • Last Update Date: 09/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Lourdes Ivette Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659773869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN860816 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health 11670071-4405 (Utah)Secondary
363LG0600XNurse Practitioner - Gerontology AP126548 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology 11670071-4405 (Utah)Secondary
363LA2200XNurse Practitioner - Adult Health AP126548 (Texas)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. Lourdes Ivette 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 AddressPractice Location Address
Lourdes Ivette Wallace, AGACNP-BC
113 Pleasant Valley Dr Ste 210,
Boerne, TX 78006-5683

Ph: (830) 267-4575
Lourdes Ivette Wallace, AGACNP-BC
113 Pleasant Valley Dr Ste 210,
Boerne, TX 78006-5683

Ph: (830) 267-4575

Reviews and Comments


Nurse Practitioner Nurses in Boerne, TX

Katherine Lamar Santovena, MSN, WHNP-BC, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 430 W Bandera Rd Ste 9, Boerne, TX 78006
Phone: 210-233-7000    Fax: 830-816-2103
Mr. Manuel R Flores, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 34910 Interstate 10 W Ste 301, Boerne, TX 78006
Phone: 210-202-0250    Fax: 866-546-3513
Mrs. Amanda Stephenson Reyes, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 17 Old San Antonio Rd Ste 201, Boerne, TX 78006
Phone: 830-267-4575    
Linni Angelique Foye-aufdenberg, APRN, RN, LMT
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 Falls Ct Ste 100, Boerne, TX 78006
Phone: 830-249-3800    Fax: 830-249-0882
Jacqueline Murley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 109 Falls Ct, Suite 300, Boerne, TX 78006
Phone: 830-249-1700    
Ms. Amanda Suzanne Patton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1102 River Rd, Boerne, TX 78006
Phone: 210-387-6809    
Mrs. Rochelle Marie Huntsman, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 Falls Ct Ste 100, Boerne, TX 78006
Phone: 830-249-3800    Fax: 830-249-0882

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.