NPPES file of Aug 9, 2026

Shelley Brooke Wallace, PA

Physician Assistant · Spartanburg, SC

Shelley Brooke Wallace, PA is a physician assistant with a practice address in Spartanburg, South Carolina, and NPI 1699652511, issued on Aug 20, 2025. Check the license with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699652511
Name
Shelley Brooke Wallace
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
101-199 Cherokee St, Spartanburg, SC 29303
Phone
(336) 995-8611
Enumerated
Aug 20, 2025
Record last updated
Oct 7, 2025
Medicare enrollment
Enrolled (PECOS I20251031000033); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Shelley Brooke Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich South Carolina board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the South Carolina license search

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2 hospital affiliations

  1. Pelham Medical CenterGreer, SC · Acute Care Hospitals5 of 5 stars
  2. Spartanburg Medical CenterSpartanburg, SC · Acute Care Hospitals2 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Shelley Brooke Wallace among 2,294 physician assistant records in South Carolina

Shelley Brooke Wallace, PA is one of 2,294 physician assistant records with a practice address in South Carolina. 81% 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 91% of them.

  • NPI issued2025 · 91% of these records are older, 3% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2025 · median 2019 among the 1,516 with a school on file
  • Record last updated2025 · 31% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

124 physician assistant records list a practice address in Spartanburg

They are 124 of the 3,328 NPPES records with a practice address in Spartanburg, and 2,294 physician assistant records in South Carolina.

The 8 physician assistant records with the nearest ZIP codes

  1. Douglas Benecke, PA-CSpartanburg, SC 293031366766560
  2. Shawn Bollinger, PASpartanburg, SC 293031457377616
  3. Katherine Brooks, PA-CSpartanburg, SC 293031922297464
  4. Kristy Carruthers, PA-CSpartanburg, SC 293031801812011
  5. Nicole Crockford, PA-CSpartanburg, SC 293031265480065
  6. Amanda Elder, PA-CSpartanburg, SC 293031730415100
  7. Carrie Knipe, PACSpartanburg, SC 293031962408229
  8. Kathryn Massengill, PA-CSpartanburg, SC 293031578890638

Common questions

What is Shelley Brooke Wallace, PA's NPI number?

Shelley Brooke Wallace, PA's National Provider Identifier (NPI) is 1699652511, issued on Aug 20, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Shelley Brooke Wallace, PA located?

The NPPES record lists a practice address at 101-199 Cherokee St, Spartanburg, SC, 29303. Phone: (336) 995-8611. Providers update this record themselves, so call before visiting.

How can I verify Shelley Brooke Wallace, PA's license?

Search the South Carolina 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.