Jessica Wallace, NURSE PRACTITIONER
NPI 1215981170 · Registered Nurse · Manhattan Beach, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Wallace, NURSE PRACTITIONER is a Registered Nurse provider in Manhattan Beach, CA (NPI 1215981170).
Provider details
- NPI number
- 1215981170
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 547962 (CA)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$753 across 6 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
Additional practice locations (1)
- 1245 16th St Ste 110Santa Monica, CA 90404-1240Phone: (310) 319-4033Fax: (310) 794-9035
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Frequently asked questions
- What is Jessica Wallace's NPI number?
- Jessica Wallace's National Provider Identifier (NPI) is 1215981170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Wallace's specialty?
- Jessica Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jessica Wallace located?
- Jessica Wallace's practice location on file with NPPES is 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266-2910.
- What is Jessica Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jessica Wallace is (310) 802-0200.
- Does Jessica Wallace accept Medicare?
- Jessica Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Wallace's NPI active?
- Yes — Jessica Wallace's NPI (1215981170) is active in the NPPES registry as of the last update on 2019-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.