Katie Justine Wallace, FNP-BC - Medicare Nurse Practitioner in Mashpee, MA

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Katie Justine Wallace, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mashpee, Massachusetts. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Affiliates Of Cape Cod Inc, Physicians Of Falmouth Hospital and her current practice location is Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 477-4282.

Katie Justine Wallace is licensed to practice in Massachusetts (license number RN2264353) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790151967.

Contact Information

Katie Justine Wallace, FNP-BC
Mashpee Family Medicine 5 Industrial Drive, Suite 100,
Mashpee, MA 02649
(508) 477-4282
(508) 539-6134

Map and Direction




Provider's Profile

Full NameKatie Justine Wallace
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
LocationMashpee Family Medicine 5 Industrial Drive, Mashpee, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katie Justine Wallace graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1790151967
  • Provider Enumeration Date: 08/11/2015
  • Last Update Date: 01/04/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2668769159
  • Enrollment ID: I20160927002405

Medical Identifiers

Medical identifiers for Katie Justine Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790151967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN2264353 (Massachusetts)Secondary
363LF0000XNurse Practitioner - Family RN2264353 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Falmouth HospitalFalmouth, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Affiliates Of Cape Cod Inc3577471564190
Physicians Of Falmouth Hospital680005197057

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Justine Wallace allows following entities to bill medicare on her behalf.
Entity NameMedical Affiliates Of Cape Cod Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770534927
PECOS PAC ID: 3577471564
Enrollment ID: O20040510001010
Entity NameAssociates In Internal Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528030509
PECOS PAC ID: 1557347580
Enrollment ID: O20040629000575
Entity NamePhysicians Of Falmouth Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821363698
PECOS PAC ID: 6800051970
Enrollment ID: O20120625000127
Entity NameCarewell Urgent Care Centers Of Ma, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740543214
PECOS PAC ID: 7618124470
Enrollment ID: O20120829000745

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Justine Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie Justine Wallace, FNP-BC
5 Industrial Drive, Mashpee Family Medicine, Suite 100,
Mashpee, MA 02649-3544

Ph: (508) 477-4282		Katie Justine Wallace, FNP-BC
Mashpee Family Medicine 5 Industrial Drive, Suite 100,
Mashpee, MA 02649

Ph: (508) 477-4282

Reviews and Comments


Nurse Practitioner Nurses in Mashpee, MA

Allegra P Mcelroy, RN FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 Commercial St, Mashpee, MA 02649
Phone: 508-477-7090    Fax: 508-477-7028
Dianne Wells, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5 Industrial Dr, Suite 100, Mashpee, MA 02649
Phone: 508-477-4282    Fax: 508-539-6134
Alissa A Devito, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5 Industrial Dr, Suite 107, Mashpee, MA 02649
Phone: 508-539-6220    Fax: 508-539-6223
Emily Elgert, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 Commercial St, Mashpee, MA 02649
Phone: 508-477-7090    
Ms. Cheryl Ann Rothwell, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5 Industrial Drive, Mashpee Family Medicine Suite 100, Mashpee, MA 02649
Phone: 508-477-4282    Fax: 508-539-6134
Mrs. Kelsey Anne Simm, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 483b Great Neck Rd S, Mashpee, MA 02649
Phone: 508-477-6967    
Jean Wishingstone, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 124 Wheeler Rd, Mashpee, MA 02649
Phone: 207-514-3153    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.