Cynthia Wallace, AGPCNP
Gerontology Nurse Practitioner · Medford, OR
Cynthia Wallace, AGPCNP is a gerontology nurse practitioner with a practice address in Medford, Oregon, and NPI 1811393648, issued on Nov 5, 2014. Check the license (Oregon 201500016NP-PP, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Cynthia Wallace
- Credential
- AGPCNP
- Primary taxonomy
- Gerontology Nurse Practitioner 363LG0600X
- License number
- 201500016NP-PP OR
Self-reported in NPPES; status is on the state search - Practice location
- 1111 Crater Lake Ave, Medford, OR 97504
- Phone
- (541) 732-5250
- Enumerated
- Nov 5, 2014
- Record last updated
- Sep 30, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (541) 732-5251
- Medicare enrollment
- Enrolled (PECOS I20150702000790); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest gerontology nurse practitioner records → All 113 in Oregon → Look up another NPI →
Also registered at 1111 Crater Lake Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Olivia Bauer, LAT, ATCAthletic Trainer1154125482
Verify Cynthia Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license 201500016NP-PPCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 80.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Providence Health And Services OregonMedford, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Cynthia Wallace among 113 gerontology nurse practitioner records in Oregon
Cynthia Wallace, AGPCNP is one of 113 gerontology nurse practitioner records with a practice address in Oregon. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 26% of them.
- NPI issued2014 · 26% of these records are older, 69% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2014 · median 2018 among the 76 with a school on file
- Record last updated2020 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gerontology Nurse Practitioner providers in Oregon
There are 113 gerontology nurse practitioner records in Oregon.
All 113 in Oregon → Every provider in Medford → Gerontology Nurse Practitioner nationwide →
The 8 gerontology nurse practitioner records with the nearest ZIP codes
- Landa CoxMedford, OR 975041427181767
- Amanda Fischer, AGACNPMedford, OR 975041346854759
- Lindsey Fox, FNP-BC, AGACNP-BCMedford, OR 975041629588504
- Nancy Obispo, NPMedford, OR 975041871983353
- Jennie Gohman, NPWinston, OR 974961417614611
- Barbara Hinds, GNPAshland, OR 975201093983447
- Kalab Carlile, NPGrants Pass, OR 975271336810241
- Elizabeth Vonwellsheim, GNPSpringfield, OR 974781124058789
Common questions
What is Cynthia Wallace, AGPCNP's NPI number?
Cynthia Wallace, AGPCNP's National Provider Identifier (NPI) is 1811393648, issued on Nov 5, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Cynthia Wallace, AGPCNP located?
The NPPES record lists a practice address at 1111 Crater Lake Ave, Medford, OR, 97504. Phone: (541) 732-5250. Providers update this record themselves, so call before visiting.
How can I verify Cynthia Wallace, AGPCNP's license?
NPPES lists Oregon license number 201500016NP-PP, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
What is Cynthia Wallace, AGPCNP's MIPS final score?
The 2023 MIPS final score is 80.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.