Provider Profile

Kristal L. Wallace, FNP-BC

Unclaimed Profile

About Kristal Wallace

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Education & Training

School Other Graduated: 2025

Specialty

Nurse Practitioner — Family (Primary)

Credentials & Licensing

NM license87084
NPI1801752449
NPI issued12/29/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kristal L. Wallace?

Kristal L. Wallace is a nurse practitioner in Edgewood, NM. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

What is Kristal L. Wallace's address?

Kristal L. Wallace is listed at 1851 Old US 66, Edgewood, NM 87015. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kristal L. Wallace?

The number on file is (505) 286-2396. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Kristal L. Wallace?

Kristal L. Wallace's National Provider Identifier is 1801752449. 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 Kristal L. Wallace train?

Kristal L. Wallace attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kristal L. Wallace have?

Kristal L. Wallace has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Is Kristal L. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kristal L. Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.