Provider Profile

Marysa P. Wallace, AGNP-C

Unclaimed Profile

About Marysa Wallace

Marysa P. Wallace, AGNP-C is a nurse practitioner practicing in Fayetteville, GA. Marysa trained at Mercer University School of Medicine, graduating in 2016. Medicare claims data shows Marysa provided 211 services to 143 patients. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and telephone medical discussion with physician, 11-20 minutes.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

GA licenseRN259981
NPI1932989357
NPI issued10/03/2023

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
Telehealth reported to CMSYes
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 Marysa P. Wallace?

Marysa P. Wallace is a nurse practitioner in Fayetteville, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Marysa P. Wallace's address?

Marysa P. Wallace is listed at 132 Old Norton Rd Ste 200, Fayetteville, GA 30215. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Marysa P. Wallace?

The number on file is (678) 817-1117. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Marysa P. Wallace?

Marysa P. Wallace's National Provider Identifier is 1932989357. 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 Marysa P. Wallace train?

Marysa P. Wallace attended Mercer University School of Medicine, graduating in 2016. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Marysa P. Wallace have?

Marysa P. Wallace has 10 years experience. Calculated from a graduation year of 2016, reported in the CMS National Downloadable File.

CMS public data

What procedures does Marysa P. Wallace perform?

According to Medicare billing data, Marysa P. 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

Is Marysa P. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Marysa P. 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.