Kristal Leann Wallace, FNP-BC
Family Nurse Practitioner · Edgewood, NM
Kristal Leann Wallace, FNP-BC is a family nurse practitioner with a practice address in Edgewood, New Mexico, and NPI 1801752449, issued on Dec 29, 2025. Check the license (New Mexico 87084, as entered in NPPES) with the New Mexico board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kristal Leann Wallace
- Credential
- FNP-BC
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- 87084 NM
Self-reported in NPPES; status is on the state search - Practice location
- 1851 Old US 66, Edgewood, NM 87015
- Phone
- (505) 286-2396
- Enumerated
- Dec 29, 2025
- Record last updated
- May 6, 2026
- Medicare enrollment
- Enrolled (PECOS I20260128002052); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 1,642 in New Mexico → Look up another NPI →
Also registered at 1851 Old US 66
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Bebe Makena, OTR/LOccupational Therapist1932449113
- Harry Messec, MDFamily Medicine Physician1376512632
- Alyssa Mirabal, MDFamily Medicine Physician1043773005
- Carla Rudolph, DOGeneral Practice Physician1104182328
Verify Kristal Leann Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Mexico board licenses this profession
Search for license 87084Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mcleod Medical Centers OF NM IncAlbuquerque, NM
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kristal Leann Wallace among 1,642 family nurse practitioner records in New Mexico
Kristal Leann Wallace, FNP-BC is one of 1,642 family nurse practitioner records with a practice address in New Mexico. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 93% of them.
- NPI issued2025 · 93% of these records are older, 2% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2025 · median 2019 among the 1,049 with a school on file
- Record last updated2026 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 family nurse practitioner records list a practice address in Edgewood
They are 12 of the 165 NPPES records with a practice address in Edgewood, and 1,642 family nurse practitioner records in New Mexico.
All 1,642 in New Mexico → Every provider in Edgewood → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Dana Allsop, CNPEdgewood, NM 870151780467886
- Thomas Black, NPEdgewood, NM 870151619346376
- Nathan Cogburn, FNPEdgewood, NM 870151083470116
- Cierra DoradoEdgewood, NM 870151386251957
- Tracy Graff, CNPEdgewood, NM 870151366127375
- Yourah Hwang, CNPEdgewood, NM 870151992477756
- Douglas Ludington, NPEdgewood, NM 870151982113445
- Thu Nguyen, FNPEdgewood, NM 870151205459369
Common questions
What is Kristal Leann Wallace, FNP-BC's NPI number?
Kristal Leann Wallace, FNP-BC's National Provider Identifier (NPI) is 1801752449, issued on Dec 29, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Kristal Leann Wallace, FNP-BC located?
The NPPES record lists a practice address at 1851 Old US 66, Edgewood, NM, 87015. Phone: (505) 286-2396. Providers update this record themselves, so call before visiting.
How can I verify Kristal Leann Wallace, FNP-BC's license?
NPPES lists New Mexico license number 87084, as entered by the provider. Search the New Mexico board that licenses this profession; the NPPES record confirms identity 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.