Cory Wallace, MSN, AGPCNP-BC
NPI 1255066411 · Nurse Practitioner · Somerset, NJ
Cory Wallace, MSN, AGPCNP-BC is a Nurse Practitioner provider in Somerset, NJ (NPI 1255066411).
Provider details
- NPI number
- 1255066411
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, AGPCNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 26NJ15461200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-07-21
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Frequently asked questions
- What is Cory Wallace's NPI number?
- Cory Wallace's National Provider Identifier (NPI) is 1255066411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cory Wallace's specialty?
- Cory Wallace is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cory Wallace located?
- Cory Wallace's practice location on file with NPPES is 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039.
- What is Cory Wallace's phone number?
- The practice phone number listed in the NPPES registry for Cory Wallace is (732) 246-0057.
- Is Cory Wallace's NPI active?
- Yes — Cory Wallace's NPI (1255066411) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.