Kelly Elizabeth Wallace, NP
Nurse Practitioner · Petersburg, VA
Kelly Elizabeth Wallace, NP is a nurse practitioner with a practice address in Petersburg, Virginia, and NPI 1417609694, issued on Jan 19, 2022. Check the license (Virginia 0024183547, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Elizabeth Wallace
- Credential
- NP
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- 0024183547 VA
Self-reported in NPPES; status is on the state search - Practice location
- 200 Medical Park Blvd, Petersburg, VA 23805
- Phone
- (804) 765-5000
- Enumerated
- Jan 19, 2022
- Record last updated
- Jan 27, 2022
- Medicare enrollment
- Enrolled (PECOS I20220202001007); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 1,721 in Virginia → Look up another NPI →
Also registered at 200 Medical Park Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Andrew Bailey, PHARMDPharmacist1710353818
Verify Kelly Elizabeth Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0024183547Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
83% fewer Medicare Part D claims than the average nurse practitioner in 2024
189 Medicare Part D claims for 133 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 16 claims were for opioids.
Most prescribed
- Naproxen23 claims
- Hydrocodone-Acetaminophen12 claims
- Albuterol Sulfate Hfa11 claims
- Cephalexin11 claims
- Ondansetron Odt11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Cep America LLCRichmond, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Elizabeth Wallace among 1,721 nurse practitioner records in Virginia
Kelly Elizabeth Wallace, NP is one of 1,721 nurse practitioner records with a practice address in Virginia. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 80% of them.
- NPI issued2022 · 80% of these records are older, 15% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2021 · median 2018 among the 921 with a school on file
- Record last updated2022 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
11 nurse practitioner records list a practice address in Petersburg
They are 11 of the 647 NPPES records with a practice address in Petersburg, and 1,721 nurse practitioner records in Virginia.
All 1,721 in Virginia → Every provider in Petersburg → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Amy Armstead-Stamper, DNPSouth Prince George, VA 238051770113763
- Amy Black, NP-CPetersburg, VA 238051902994106
- Brenna Bohatec, FNPPetersburg, VA 238051346683182
- Gabrielle Farrar, NPPetersburg, VA 238051528741212
- Rasha Kafi, NPPetersburg, VA 238051154962231
- Lindsay Morris, FNPPetersburg, VA 238051699245068
- Kathyrn Scribner, NPPetersburg, VA 238051750545281
- Terry Tuck, NP-BCPetersburg, VA 238051780800300
Common questions
What is Kelly Elizabeth Wallace, NP's NPI number?
Kelly Elizabeth Wallace, NP's National Provider Identifier (NPI) is 1417609694, issued on Jan 19, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Elizabeth Wallace, NP located?
The NPPES record lists a practice address at 200 Medical Park Blvd, Petersburg, VA, 23805. Phone: (804) 765-5000. Providers update this record themselves, so call before visiting.
How can I verify Kelly Elizabeth Wallace, NP's license?
NPPES lists Virginia license number 0024183547, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
How much does Kelly Elizabeth Wallace, NP prescribe under Medicare Part D?
In 2024, Kelly Elizabeth Wallace, NP had 189 Medicare Part D claims for 133 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.
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.