Heather Marie Wallace (NPI# 1275075400, PAC ID# 0244510113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275075400 |
| PAC ID by PECOS | 0244510113 |
| Professional Enrollment ID | I20161212000511 |
| Full Name | Heather Marie Wallace |
| Organization Legal Name | VALLEY REGIONAL ENTERPRISES, INC |
| Address |
607 E Jubal Early Dr Winchester VA 22601-5178 |
| Phone Number | 5405362232 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446164495 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 97 Administrative Dr, Martinsburg, WV 25404-6378 | 3043503200 | VALLEY REGIONAL ENTERPRISES, INC |
| 100 Oak Lee Dr, Ranson, WV 25438-4879 | 3049300001 | EAST MOUNTAIN HEALTH PHYSICIANS INC |
| 607 E Jubal Early Dr, Winchester, VA 22601-5178 | 5405362232 | VALLEY REGIONAL ENTERPRISES, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 47% |
| Organization Legal Name | VALLEY REGIONAL ENTERPRISES, INC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Marie Judd-alishauskas | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Amanda Feigenheimer | Nurse Practitioner | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Stephanie Shenk Bailey | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Jennifer Mooney | Nurse Practitioner | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Derrik Holladay | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Erica Lynn English | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Kodanda R Valusa | Family Medicine | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Bailey B O'bannon | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Bridget M Hickson | Nurse Practitioner | Valley Regional Enterprises, Inc | 415 S St, Front Royal, VA 22630-2115 |
| Samantha Mason | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Street Address |
607 E JUBAL EARLY DR |
| City | WINCHESTER |
| State | VA |
| Zip | 22601-5178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Feigenheimer | Nurse Practitioner | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Stephanie Shenk Bailey | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Jennifer Mooney | Nurse Practitioner | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Derrik Holladay | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Erica Lynn English | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Kodanda R Valusa | Family Medicine | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Bailey B O'bannon | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Samantha Mason | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Brianna R Rosskamp | Physician Assistant | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Rebecca Louise Boyce | Nurse Practitioner | Valley Regional Enterprises, Inc | 607 E Jubal Early Dr, Winchester, VA 22601-5178 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip D Rhoads | Optometry | 40 Weems Lane, Suite B, Winchester, VA 22601 | |
| Amanda N Keatts | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Jacob Manley | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Brad Dinklocker | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Emily E Snyder | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Annetta L Haddox | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Price Coleman | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Jonathan Lester | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Alexandra M Barnes | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Michael James Collins | Optometry | Winchester Optometry Pllc | 3051 Valley Ave, Suite 102, Winchester, VA 22601-2658 |
| Find all physicians in zip 22601 | |||
| City | WINCHESTER |
| Zip Code | 22601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WINCHESTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heather Marie Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.