Jacqueline Wallace, PHYSICIAN
NPI 1912945155 · Obstetrics & Gynecology Physician · Columbia, MD
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Wallace, PHYSICIAN is a Obstetrics & Gynecology Physician provider in Columbia, MD (NPI 1912945155).
Provider details
- NPI number
- 1912945155
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHYSICIAN
- Sex
- Female
- Sole proprietor
- No
- License
- MD059921L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES 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
- 2006-06-02
- Last updated
- 2010-06-22
Frequently asked questions
- What is Jacqueline Wallace's NPI number?
- Jacqueline Wallace's National Provider Identifier (NPI) is 1912945155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Wallace's specialty?
- Jacqueline Wallace is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Jacqueline Wallace located?
- Jacqueline Wallace's practice location on file with NPPES is 10910 Little Patuxent Pkwy, Columbia, MD 21044-3078.
- What is Jacqueline Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Wallace is (410) 997-8444.
- Does Jacqueline Wallace accept Medicare?
- Jacqueline Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Wallace's NPI active?
- Yes — Jacqueline Wallace's NPI (1912945155) is active in the NPPES registry as of the last update on 2010-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.