Kristal Wallace, FNP-BC
NPI 1801752449 · Family Nurse Practitioner · Edgewood, NM
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristal Wallace, FNP-BC is a Family Nurse Practitioner provider in Edgewood, NM (NPI 1801752449).
Provider details
- NPI number
- 1801752449
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 87084 (NM)
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Kristal Wallace's NPI number?
- Kristal Wallace's National Provider Identifier (NPI) is 1801752449, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristal Wallace's specialty?
- Kristal Wallace is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kristal Wallace located?
- Kristal Wallace's practice location on file with NPPES is 1851 Old US 66, Edgewood, NM 87015-7200.
- What is Kristal Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kristal Wallace is (505) 286-2396.
- Does Kristal Wallace accept Medicare?
- Kristal Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristal Wallace's NPI active?
- Yes — Kristal Wallace's NPI (1801752449) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.