Kisha Wallace
NPI 1417433939 · Adult Health Nurse Practitioner · New York, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kisha Wallace is a Adult Health Nurse Practitioner provider in New York, NY (NPI 1417433939).
Provider details
- NPI number
- 1417433939
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- F308252 (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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mupirocin | 13 | 13 |
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 no Part D record, 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.
Practice location
Mailing address
Additional practice locations (1)
- 320 Wilson StWest Hempstead, NY 11552-2019Phone: (516) 485-5864
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Frequently asked questions
- What is Kisha Wallace's NPI number?
- Kisha Wallace's National Provider Identifier (NPI) is 1417433939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kisha Wallace's specialty?
- Kisha Wallace is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kisha Wallace located?
- Kisha Wallace's practice location on file with NPPES is 1 Gustave L Levy Pl, New York, NY 10029-6504.
- What is Kisha Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kisha Wallace is (212) 241-6500.
- Does Kisha Wallace accept Medicare?
- Kisha Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kisha Wallace's NPI active?
- Yes — Kisha Wallace's NPI (1417433939) is active in the NPPES registry as of the last update on 2021-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.