Marysa P. Wallace, AGNP-C
Nurse Practitioner · Fayetteville, GA
Marysa P. Wallace, AGNP-C is a nurse practitioner with a practice address in Fayetteville, Georgia, and NPI 1932989357, issued on Oct 3, 2023. Check the license (Georgia RN259981, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Marysa P. Wallace
- Credential
- AGNP-C
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- RN259981 GA
Self-reported in NPPES; status is on the state search - Practice location
- 132 Old Norton RD Ste 200, Fayetteville, GA 30215
- Phone
- (678) 817-1117
- Enumerated
- Oct 3, 2023
- Record last updated
- Aug 14, 2024
- Fax
- (678) 817-0823
- Medicare enrollment
- Enrolled (PECOS I20231023001418); accepts Medicare assignment
- Medical or professional school
- Mercer University School Of Medicine, 2016
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 3,109 in Georgia → Look up another NPI →
Also registered at 132 Old Norton RD Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Donna Hendley, PA-CPhysician Assistant1093885873
- Paige Kenway, AGPCNP-BCNurse Practitioner1720548704
- Shyam Khanwani, MDHematology & Oncology Physician1184602856
- Kim Phuong Nguyen, PHARMDOncology Pharmacist1487102174
Verify Marysa P. Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license RN259981Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
95% fewer Medicare Part D claims than the average nurse practitioner in 2024
53 Medicare Part D claims for 25 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D.
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.
Industry payments in 2024: $1,793.90
45 payments; by number, the most common kind was food and beverage; the largest payer was Daiichi Sankyo Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Nsh Cancer Institute Professional Services G LLCFayetteville, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marysa P. Wallace among 3,109 nurse practitioner records in Georgia
Marysa P. Wallace, AGNP-C is one of 3,109 nurse practitioner records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 83% of them.
- NPI issued2023 · 83% of these records are older, 11% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 56% of these records are
- Graduated2016 · median 2018 among the 1,734 with a school on file
- Record last updated2024 · 43% 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 Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
48 nurse practitioner records list a practice address in Fayetteville
They are 48 of the 1,527 NPPES records with a practice address in Fayetteville, and 3,109 nurse practitioner records in Georgia.
All 3,109 in Georgia → Every provider in Fayetteville → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Brianna Freckleton, RN, MSN, AGACNP-BCFayetteville, GA 302151861105587
- Paige Kenway, AGPCNP-BCFayetteville, GA 302151720548704
- Jessica Mathis, FNP-CFayetteville, GA 302151235511338
- Shelley Albertson, FNPFayetteville, GA 302141952012692
- Elizabeth Crumpler, FNPFayetteville, GA 302141245094663
- Taheisha Deese, NPFayetteville, GA 302141205516754
- Krystal Dennis, NPFayetteville, GA 302141023995495
- Jessica Dinkins, NP-CFayetteville, GA 302141356053714
Common questions
What is Marysa P. Wallace, AGNP-C's NPI number?
Marysa P. Wallace, AGNP-C's National Provider Identifier (NPI) is 1932989357, issued on Oct 3, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Marysa P. Wallace, AGNP-C located?
The NPPES record lists a practice address at 132 Old Norton RD Ste 200, Fayetteville, GA, 30215. Phone: (678) 817-1117. Providers update this record themselves, so call before visiting.
How can I verify Marysa P. Wallace, AGNP-C's license?
NPPES lists Georgia license number RN259981, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
How much does Marysa P. Wallace, AGNP-C prescribe under Medicare Part D?
In 2024, Marysa P. Wallace, AGNP-C had 53 Medicare Part D claims for 25 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.