Doctor profile · Federal record
Dr. Kimberly Wallace, NP-C
Primary Care Nurse Practitioner · Beavercreek, OH
- NPI 1619688116
- 4 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3535 Pentagon Blvd
Beavercreek, OH 454311705
(937) 702-4000 - Mailing address
-
935 Salem St
Brookville, OH 453098225
Credentials & registration
- NPI registered
- December 2022 — 4 yrs on file
- Specialty taxonomy
- 363LP2300X — NUCC code
- State license (1)
- Ohio #APRN.CNP.0032777
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619688116. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
38
Distinct HCPCS
1
Medicare allowed
$3,927
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 38 | 35 | $103 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 37. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$365
Transactions
25
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | 13 | $181.82 | |
| Travere Therapeutics, Inc. | 5 | $46.63 | |
| Fresenius USA Marketing, Inc. | 2 | $46.23 | |
| AstraZeneca Pharmaceuticals LP | 3 | $45.78 | |
| Ardelyx, Inc. | 2 | $44.30 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
303
Patients
91
Total drug cost
$120,838
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Sevelamer Carbonate | Generic | 44 | 25 | $9,037 |
| Carvedilol | Generic | 31 | 17 | $391 |
| Hydralazine Hcl | Generic | 29 | 12 | $467 |
| Lanthanum Carbonate | Generic | 24 | 0 | $15,623 |
| Velphoro (Sucroferric Oxyhydroxide) | Brand | 24 | 0 | $70,587 |
| Midodrine Hcl | Generic | 23 | 15 | $2,469 |
| Furosemide | Generic | 21 | 11 | $141 |
| Nifedipine Er (Nifedipine) | Brand | 18 | 0 | $1,312 |
| Amlodipine Besylate | Generic | 16 | 11 | $130 |
| Calcium Acetate | Generic | 16 | 0 | $1,703 |
Frequently asked questions
What is Dr. Kimberly Wallace's medical specialty?
Dr. Kimberly Wallace practices Primary Care Nurse Practitioner in Beavercreek, OH.
Where does Dr. Kimberly Wallace practice?
Dr. Kimberly Wallace practices at 3535 Pentagon Blvd, Beavercreek, OH 454311705. Office phone: 9377024000.
What is Dr. Kimberly Wallace's NPI?
Dr. Kimberly Wallace's National Provider Identifier (NPI) is 1619688116, issued by NPPES.
What procedures does Dr. Kimberly Wallace commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.