Connie Wallace, PA-C
NPI 1619179132 · Physician Assistant · Huntersville, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Connie Wallace, PA-C is a Physician Assistant provider in Huntersville, NC (NPI 1619179132).
Provider details
- NPI number
- 1619179132
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 102472 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
51 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 19 | $59 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 16 | $32 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 16 | $85 |
Typical Medicare-allowed amounts for these services range $32–$85 (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.
Practice location
Mailing address
Additional practice locations (1)
- 125 Queens Rd Ste 330Charlotte, NC 28204-3215Phone: (704) 384-5043Fax: (704) 384-8895
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Frequently asked questions
- What is Connie Wallace's NPI number?
- Connie Wallace's National Provider Identifier (NPI) is 1619179132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Connie Wallace's specialty?
- Connie Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Connie Wallace located?
- Connie Wallace's practice location on file with NPPES is 10030 Gilead Rd Ste 201, Huntersville, NC 28078-7545.
- What is Connie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Connie Wallace is (704) 887-4530.
- Does Connie Wallace accept Medicare?
- Connie Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Connie Wallace's NPI active?
- Yes — Connie Wallace's NPI (1619179132) is active in the NPPES registry as of the last update on 2022-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.