Phillip Wallace, APRN
NPI 1821647447 · Nurse Practitioner · Jacksonville, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Wallace, APRN is a Nurse Practitioner provider in Jacksonville, FL (NPI 1821647447).
Provider details
- NPI number
- 1821647447
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- APRN11003275 (FL)
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
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
504 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 335 | $99 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 45 | $66 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 42 | $145 |
| Critical Care, First 30-74 Minutes99291 | 37 | $179 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 33 | $109 |
| Insertion of Artery Tube for Blood Sampling Or Infusion Through Skin36620 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$196 across 10 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 (1)
- 1325 San Marco Blvd Ste 300Jacksonville, FL 32207-8567Phone: (904) 253-6910Fax: (904) 253-6964
Registry dates
- Enumerated
- 2019-09-06
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Phillip Wallace's NPI number?
- Phillip Wallace's National Provider Identifier (NPI) is 1821647447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Wallace's specialty?
- Phillip Wallace is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Phillip Wallace located?
- Phillip Wallace's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865.
- What is Phillip Wallace's phone number?
- The practice phone number listed in the NPPES registry for Phillip Wallace is (904) 953-2000.
- Does Phillip Wallace accept Medicare?
- Phillip Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Wallace's NPI active?
- Yes — Phillip Wallace's NPI (1821647447) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.