Jamie Wallace, NP
NPI 1104608595 · Family Nurse Practitioner · Oswego, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jamie Wallace, NP is a Family Nurse Practitioner provider in Oswego, NY (NPI 1104608595).
Provider details
- NPI number
- 1104608595
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 353514 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
2 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
181 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 71 | $101 |
| Automated Urinalysis Test81003 | 28 | $2 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 23 | $70 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 21 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 20 | $105 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 18 | $14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 41 | 18 |
| Prednisone | 41 | 39 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 31 | 18 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 29 | — |
| Rosuvastatin Calcium | 29 | 14 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 27 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$705 across 34 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Frequently asked questions
- What is Jamie Wallace's NPI number?
- Jamie Wallace's National Provider Identifier (NPI) is 1104608595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jamie Wallace's specialty?
- Jamie Wallace is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jamie Wallace located?
- Jamie Wallace's practice location on file with NPPES is 110 W Utica St, Oswego, NY 13126-3047.
- What is Jamie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jamie Wallace is (315) 668-1202.
- Does Jamie Wallace accept Medicare?
- Jamie Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jamie Wallace's NPI active?
- Yes — Jamie Wallace's NPI (1104608595) is active in the NPPES registry as of the last update on 2024-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.