Doctor profile · Federal record
Dr. Phillip Wallace, APRN
Nurse Practitioner · Jacksonville, FL
- NPI 1821647447
- MIPS 82.4 / 100 · 2023
- 7 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1325 San Marco Blvd Ste 300
Jacksonville, FL 322078567
(904) 253-6910
fax (904) 253-6964
Credentials & registration
- NPI registered
- September 2019 — 7 yrs on file
- Profile last updated
- March 24, 2026
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Florida #APRN11003275
- Medicaid
- FL #104378700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821647447. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
450
Distinct HCPCS
5
Medicare allowed
$44,296
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 252 | 117 | $102 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 110 | 75 | $68 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 54 | 54 | $110 | |
99291 |
Critical care, first 30-74 minutes | 22 | 22 | $185 | |
32555 |
Aspiration of fluid from chest cavity using imaging guidance | 12 | 12 | $94 |
In context: peer comparison
Among 215 peers in Jacksonville Nurse Practitioner, average services per provider: 234. This provider delivers 1.9× the peer median.Open Payments
Industry payments received
All-time total
$196
Transactions
10
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 4 | $68.08 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 2 | $52.18 | |
| GlaxoSmithKline, LLC. | 3 | $51.82 | |
| Mylan Specialty L.P. | 1 | $23.59 |
By nature of payment
Frequently asked questions
What is Dr. Phillip Wallace's medical specialty?
Dr. Phillip Wallace practices Nurse Practitioner in Jacksonville, FL.
Where does Dr. Phillip Wallace practice?
Dr. Phillip Wallace practices at 1325 San Marco Blvd Ste 300, Jacksonville, FL 322078567. Office phone: 9042536910.
What is Dr. Phillip Wallace's NPI?
Dr. Phillip Wallace's National Provider Identifier (NPI) is 1821647447, issued by NPPES.
What procedures does Dr. Phillip Wallace commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.