Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235379090 Individual Practitioner Female Practitioner

Jennifer M Wallace , NP

Nurse Practitioner • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Jennifer Wallace, NP is a registered healthcare professional specializing in Nurse Practitioner in Springfield, MA. Practice services are available at 3640 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3640 Main St
Suite 302

Springfield, MA 011071145

Telephone 4137324242
Fax 4137324040
Associated Practice Facility / Clinic
🏢 Chelsea Mri Pc Facility NPI 1376595470

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
58 Specialists

Practicing in Springfield, MA (3545 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN218174

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Marianne Langlois , PA-C

Physician Assistant

NPI 1093898371

Physician Assistant (Certified)

Alicia Higgins , PA-C

Physician Assistant - Surgical

NPI 1215002738

Physician Assistant (Certified)

Ryan Macdonald , PA

Physician Assistant - Surgical

NPI 1518324904

Physician Assistant

NPI 1598704595

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2016

Registered at 3640 MAIN ST, SUITE 302, SPRINGFIELD, MA 011071145 (Tel: 4137324242)

📍
Updated Business Mailing Address April 21, 2016

Registered at 3640 MAIN ST, SUITE 302, SPRINGFIELD, MA 011071145 (Tel: 4137324242)

👤
Provider Name / Credentials Updated April 21, 2016

Recorded as JENNIFER WALLACE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2016

Nurse Practitioner (License #RN218174 in MA)

🟢
Initial NPI Registration & Enumeration March 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235379090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2009
Last Update: April 21, 2016
Sole Proprietor: No

Mailing Address

3640 Main St, Suite 302

Springfield, MA 011071145

Phone: 4137324242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.