Kimberly Wallace, NP-C
NPI 1619688116 · Primary Care Nurse Practitioner · Beavercreek, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Wallace, NP-C is a Primary Care Nurse Practitioner provider in Beavercreek, OH (NPI 1619688116).
Provider details
- NPI number
- 1619688116
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CNP.0032777 (OH)
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
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
700 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 248 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 185 | $83 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 70 | $49 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 56 | $59 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 35 | $168 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Calcitriol | 82 | 28 |
| Furosemide | 81 | 34 |
| Sevelamer Carbonate | 76 | 26 |
| Lisinopril | 73 | 21 |
| Amlodipine Besylate | 73 | 32 |
| Losartan Potassium | 59 | 23 |
| Hydralazine Hcl | 58 | 19 |
| Carvedilol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$365 across 25 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
Registry dates
- Enumerated
- 2022-12-06
- Last updated
- 2022-12-06
- Certified
- 2022-12-06
Frequently asked questions
- What is Kimberly Wallace's NPI number?
- Kimberly Wallace's National Provider Identifier (NPI) is 1619688116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wallace's specialty?
- Kimberly Wallace is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Wallace located?
- Kimberly Wallace's practice location on file with NPPES is 3535 Pentagon Blvd, Beavercreek, OH 45431-1705.
- What is Kimberly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wallace is (937) 702-4000.
- Does Kimberly Wallace accept Medicare?
- Kimberly Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Wallace's NPI active?
- Yes — Kimberly Wallace's NPI (1619688116) is active in the NPPES registry as of the last update on 2022-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.