Jennifer Wallace, NURSE PRACTITIONER
NPI 1790412591 · Gerontology Nurse Practitioner · Deptford, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Wallace, NURSE PRACTITIONER is a Gerontology Nurse Practitioner provider in Deptford, NJ (NPI 1790412591).
Provider details
- NPI number
- 1790412591
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ01341100 (NJ)
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
924 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 189 | $119 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 142 | $116 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 107 | $45 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, Each Additional 20 Minutes99458 | 101 | $35 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 64 | $3 |
| Smoking and Tobacco Use Intensive Counseling, More Than 10 Minutes99407 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 91 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 335 | 105 |
| Rosuvastatin Calcium | 227 | 52 |
| Amlodipine Besylate | 220 | 68 |
| Omega-3 Acid Ethyl Esters | 175 | 40 |
| Furosemide | 117 | 35 |
| Famotidine | 117 | 30 |
| Gabapentin | 113 | 35 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$148 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 (2)
- 36 Walker RdWest Orange, NJ 07052-4403Phone: (973) 715-5586
- 36 Walker RdWest Orange, NJ 07052-4403Phone: (973) 715-5586
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Frequently asked questions
- What is Jennifer Wallace's NPI number?
- Jennifer Wallace's National Provider Identifier (NPI) is 1790412591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallace's specialty?
- Jennifer Wallace is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Wallace located?
- Jennifer Wallace's practice location on file with NPPES is 202 Cabot Ct, Deptford, NJ 08096-5114.
- What is Jennifer Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallace is (856) 885-4579.
- Does Jennifer Wallace accept Medicare?
- Jennifer Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Wallace's NPI active?
- Yes — Jennifer Wallace's NPI (1790412591) is active in the NPPES registry as of the last update on 2022-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.