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Edit this profileAt a glance
- 200 Medical Park Blvd, Petersburg, VA 23805
About Kelly Wallace
Kelly E. Wallace, NP is a nurse practitioner based in Petersburg, VA. According to Medicare claims data, Kelly cared for 201 Medicare patients across 202 services. The services billed most often include emergency department visit with high level of medical decision making and emergency department visit with moderate level of medical decision making. The provider's National Provider Identifier (NPI) is 1417609694.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (804) 765-5000
- Email not available
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Practice Locations
200 MEDICAL PARK BLVD
Petersburg, VA 23805
Procedures Most Often Billed to Medicare
202 services · 201 patients · 2 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Emergency department visit with high level of medical decision making | Office visit | 99285 |
128 | More often than most peers in Nurse Practitioner |
| Emergency department visit with moderate level of medical decision making | Office visit | 99284 |
74 | More often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Related specialists at this location 8
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other nurse practitioners in Petersburg 8
Same specialty, same city.
More connections — 16 related providers in 2 groups
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2021 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What kind of doctor is Kelly E. Wallace?
Kelly E. Wallace is a nurse practitioner in Petersburg, VA. That is the designation recorded for this NPI in the federal registry.
NPI registry
What is Kelly E. Wallace's address?
Kelly E. Wallace is listed at 200 Medical Park Blvd, Petersburg, VA 23805. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Kelly E. Wallace?
The number on file is (804) 765-5000. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Kelly E. Wallace's NPI number?
Kelly E. Wallace's National Provider Identifier is 1417609694. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Kelly E. Wallace train?
Kelly E. Wallace attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
How long has Kelly E. Wallace been practicing?
Kelly E. Wallace has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
What procedures does Kelly E. Wallace perform?
According to Medicare billing data, Kelly E. Wallace the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Kelly E. Wallace confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Kelly E. Wallace. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.