Heather Wallace, NP
NPI 1275075400 · Family Nurse Practitioner · Winchester, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Wallace, NP is a Family Nurse Practitioner provider in Winchester, VA (NPI 1275075400).
Provider details
- NPI number
- 1275075400
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024174206 (VA)
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
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
8 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
51 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $75 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 11 | $40 |
Typical Medicare-allowed amounts for these services range $40–$75 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 48 | 46 |
| Methocarbamol | 20 | 20 |
| Pantoprazole Sodium | 12 | — |
| Celecoxib | 11 | 11 |
| Gabapentin | 11 | — |
| Tramadol Hcl | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$74 across 3 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 (7)
- 415a South StFront Royal, VA 22630-2115Phone: (540) 636-0495
- 65 Riverton Commons DrFront Royal, VA 22630-6768Phone: (540) 635-0700
- 33820 Old Valley Pike Ste 2Strasburg, VA 22657-3793Phone: (540) 459-1310
- 190 Campus Blvd Ste 310Winchester, VA 22601-2872Phone: (540) 536-0130Fax: (540) 536-0140
- 1840 Amherst StWinchester, VA 22601-2808Phone: (540) 536-8000
- 607 E Jubal Early DrWinchester, VA 22601-5178Phone: (540) 536-2232
- 160 Merchant St Ste 200Winchester, VA 22603-4772Phone: (540) 536-5950
Registry dates
- Enumerated
- 2016-11-04
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Frequently asked questions
- What is Heather Wallace's NPI number?
- Heather Wallace's National Provider Identifier (NPI) is 1275075400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Wallace's specialty?
- Heather Wallace is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heather Wallace located?
- Heather Wallace's practice location on file with NPPES is 333 W Cork St Unit 405, Winchester, VA 22601-3876.
- What is Heather Wallace's phone number?
- The practice phone number listed in the NPPES registry for Heather Wallace is (540) 313-9200.
- Does Heather Wallace accept Medicare?
- Heather Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Wallace's NPI active?
- Yes — Heather Wallace's NPI (1275075400) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.