Doctor profile · Federal record
Dr. Ashlyn Wallace, FNP-C
Family Nurse Practitioner (CMS: Nurse Practitioner) · Fairfax, VA
- NPI 1104640887
- Accepts Medicare
- 2 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8613 Route 29 Ste 200N
Fairfax, VA 220312171
(571) 350-8400
fax (703) 280-9596 - Mailing address
-
3040 Williams Dr Ste 100
Fairfax, VA 220314618
Credentials & registration
- NPI registered
- November 2024 — 2 yrs on file
- Profile last updated
- November 11, 2025
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Virginia #0024191724
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104640887. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$121
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, Inc. | 2 | $59.02 | |
| Iovance Biotherapeutics, Inc. | 1 | $30.06 | |
| SOBI, INC | 1 | $18.16 | |
| ABBVIE INC. | 1 | $13.64 |
By nature of payment
Frequently asked questions
What is Dr. Ashlyn Wallace's medical specialty?
Dr. Ashlyn Wallace practices Family Nurse Practitioner in Fairfax, VA.
Where does Dr. Ashlyn Wallace practice?
Dr. Ashlyn Wallace practices at 8613 Route 29 Ste 200N, Fairfax, VA 220312171. Office phone: 5713508400.
What is Dr. Ashlyn Wallace's NPI?
Dr. Ashlyn Wallace's National Provider Identifier (NPI) is 1104640887, issued by NPPES.
Does Dr. Ashlyn Wallace accept Medicare assignment?
Yes. Dr. Ashlyn Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.