Jessica Wallace, PA
NPI 1588407720 · Medical Physician Assistant · Staten Island, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Wallace, PA is a Medical Physician Assistant provider in Staten Island, NY (NPI 1588407720).
Provider details
- NPI number
- 1588407720
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
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
2 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
1 documented practice location
- 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.
$29 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
- 2024-06-17
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Jessica Wallace's NPI number?
- Jessica Wallace's National Provider Identifier (NPI) is 1588407720, 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 Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Wallace located?
- Jessica Wallace's practice location on file with NPPES is 355 Bard Ave, Staten Island, NY 10310-1664.
- What is Jessica Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jessica Wallace is (718) 818-2995.
- 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 (1588407720) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.