LISA M. WALLACE FNP NPI 1235637182

NPI Details

Lisa M. Wallace, FNP is a family nurse practitioner in Florence, SC with 8 years of experience. Lisa M. Wallace, FNP NPI is 1235637182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 E CHEVES ST STE 200
FLORENCE, SC
ZIP 29506-651
Phone: (843) 662-1502
Fax: (843) 678-3611

The NPI 1235637182 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
• Automated urinalysis test (HCPCS:81003)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 1/25/2018 and was last updated on 2/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: