Maxana Wilby-Wallace, ANP
NPI 1174718654 · Adult Health Nurse Practitioner · New York, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maxana Wilby-Wallace, ANP is a Adult Health Nurse Practitioner provider in New York, NY (NPI 1174718654).
Provider details
- NPI number
- 1174718654
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- F303569 (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 tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-07
- Last updated
- 2007-09-07
Frequently asked questions
- What is Maxana Wilby-Wallace's NPI number?
- Maxana Wilby-Wallace's National Provider Identifier (NPI) is 1174718654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maxana Wilby-Wallace's specialty?
- Maxana Wilby-Wallace is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Maxana Wilby-Wallace located?
- Maxana Wilby-Wallace's practice location on file with NPPES is 1901 1st Ave, New York, NY 10029-7404.
- What is Maxana Wilby-Wallace's phone number?
- The practice phone number listed in the NPPES registry for Maxana Wilby-Wallace is (212) 423-6384.
- Does Maxana Wilby-Wallace accept Medicare?
- Maxana Wilby-Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maxana Wilby-Wallace's NPI active?
- Yes — Maxana Wilby-Wallace's NPI (1174718654) is active in the NPPES registry as of the last update on 2007-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.