Jason Wallace
NPI 1235755638 · Psychiatric/Mental Health Nurse Practitioner · Jonesboro, AR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason Wallace is a Psychiatric/Mental Health Nurse Practitioner provider in Jonesboro, AR (NPI 1235755638).
Provider details
- NPI number
- 1235755638
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125806 (AR)
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
6 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
2,103 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 1,448 | $83 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 281 | $57 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 174 | $154 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 156 | $83 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 23 | $136 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$98 across 1 record (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
- 2020-06-22
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Jason Wallace's NPI number?
- Jason Wallace's National Provider Identifier (NPI) is 1235755638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Wallace's specialty?
- Jason Wallace is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jason Wallace located?
- Jason Wallace's practice location on file with NPPES is 2214 Chesapeake Cv, Jonesboro, AR 72404-7104.
- What is Jason Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jason Wallace is (615) 618-6200.
- Does Jason Wallace accept Medicare?
- Jason Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jason Wallace's NPI active?
- Yes — Jason Wallace's NPI (1235755638) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.