Rafaella Izar Wallace, ANP
Gerontology Nurse Practitioner · Fort Worth, TX
Rafaella Izar Wallace, ANP is a gerontology nurse practitioner with a practice address in Fort Worth, Texas, and NPI 1821469107, issued on Oct 13, 2015. Check the license (Texas AP129253, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Rafaella Izar Wallace
- Credential
- ANP
- Primary taxonomy
- Gerontology Nurse Practitioner 363LG0600X
- License number
- AP129253 TX
Self-reported in NPPES; status is on the state search - Practice location
- 500 S Henderson St Ste 200, Fort Worth, TX 76104
- Phone
- (817) 413-1500
- Enumerated
- Oct 13, 2015
- Record last updated
- Dec 1, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (817) 413-1499
- Medicaid ID
- 365509402 TX
- Medicare enrollment
- Enrolled (PECOS I20160225000996); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gerontology nurse practitioner records → All 954 in Texas → Look up another NPI →
Also registered at 500 S Henderson St Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Rafaella Izar Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license AP129253Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
77% fewer Medicare Part D claims than the average gerontology nurse practitioner in 2024
321 Medicare Part D claims for 107 beneficiaries, against an average of 1,369 among the 6,165 providers of this specialty who prescribed in Part D. Brand-name drugs were 27% of claims.
Most prescribed
- Hizentra36 claims
- Imbruvica23 claims
- Olanzapine20 claims
- Gabapentin19 claims
- Ondansetron Odt19 claims
- Anastrozole18 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.
The MIPS final score for 2023 (Medicare payment program): 89.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $729.75
23 payments; by number, the most common kind was food and beverage; the largest payer was Myriad Genetic Laboratories, Inc. The 3,903 providers of this specialty with any payment received $742.05 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
- Texas Oncology PAFt Worth, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Rafaella Izar Wallace among 954 gerontology nurse practitioner records in Texas
Rafaella Izar Wallace, ANP is one of 954 gerontology nurse practitioner records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 23% of them.
- NPI issued2015 · 23% of these records are older, 71% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2015 · median 2019 among the 577 with a school on file
- Record last updated2021 · 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 Texas 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 Texas
There are 954 gerontology nurse practitioner records in Texas.
All 954 in Texas → Every provider in Fort Worth → Gerontology Nurse Practitioner nationwide →
The 8 gerontology nurse practitioner records with the nearest ZIP codes
- Juston ForteFt Worth, TX 761041538529524
- Grishma GiriFort Worth, TX 761041679277842
- Dianne Grant, APRNFort Worth, TX 761041467182980
- Patricia Magness, NPFort Worth, TX 761041124537212
- Dixita Patel, NPFort Worth, TX 761041346608775
- Oddeth Root, MSN, RN-BC, NPFort Worth, TX 761041215945522
- Emily Thompson, NPFt Worth, TX 761041699212100
- Jennifer West, NPFort Worth, TX 761041629520655
Common questions
What is Rafaella Izar Wallace, ANP's NPI number?
Rafaella Izar Wallace, ANP's National Provider Identifier (NPI) is 1821469107, issued on Oct 13, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Rafaella Izar Wallace, ANP located?
The NPPES record lists a practice address at 500 S Henderson St Ste 200, Fort Worth, TX, 76104. Phone: (817) 413-1500. Providers update this record themselves, so call before visiting.
How can I verify Rafaella Izar Wallace, ANP's license?
NPPES lists Texas license number AP129253, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
How much does Rafaella Izar Wallace, ANP prescribe under Medicare Part D?
In 2024, Rafaella Izar Wallace, ANP had 321 Medicare Part D claims for 107 beneficiaries; the average among gerontology nurse practitioner prescribers was 1,369. Part D covers Medicare prescriptions only.
What is Rafaella Izar Wallace, ANP's MIPS final score?
The 2023 MIPS final score is 89.4 of 100. 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.