Doctor profile · Federal record
Dr. Jesse Wallace, Ag-ACNP
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Critical Care Medicine (Anesthesiology) Physician · Charlottesville, VA
- NPI 1013697267
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1215 Lee St
Charlottesville, VA 229080816
(434) 924-3627 - Mailing address
-
Po Box 749112
Atlanta, GA 303749112
Credentials & registration
- NPI registered
- July 2023 — 3 yrs on file
- Profile last updated
- December 6, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State license (1)
- Virginia #0024187479
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013697267. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$44
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Silk Road Medical, INC. | 1 | $30.86 | |
| Abbott Laboratories | 1 | $13.31 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jesse Wallace's medical specialty?
Dr. Jesse Wallace practices Acute Care Nurse Practitioner in Charlottesville, VA.
Where does Dr. Jesse Wallace practice?
Dr. Jesse Wallace practices at 1215 Lee St, Charlottesville, VA 229080816. Office phone: 4349243627.
What is Dr. Jesse Wallace's NPI?
Dr. Jesse Wallace's National Provider Identifier (NPI) is 1013697267, issued by NPPES.
Does Dr. Jesse Wallace accept Medicare assignment?
Yes. Dr. Jesse Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.