npidexNPI registry + Medicare data

CHARLESTON WALLACE, FNP

Family Nurse Practitioner · LEXINGTON, TN

Individual Active NPI 1851960421

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024102599$44,138$16,504$9,937
20231261,661$67,210$26,051$17,040
20221351,216$57,024$22,531$17,198

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J1100Injection, dexamethasone sodium phosphate, 1 mg142$0$0
J0696Injection, ceftriaxone sodium, per 250 mg140$0$0
96372Injection of drug or substance under skin or into muscle67$11$6
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more59$71$39
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more54$100$57
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more21$126$60
81003Automated urinalysis test20$2$2
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen14$47$47

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Nurse Practitioner363LF0000X✓30307TN
Registered Nurse163W00000X225188TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Family Nurse Practitioner providers in Tennessee

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.