Active NPI 1356885347 Individual Practitioner Female Practitioner

Margaret Wallace , NP

Nurse Practitioner - Acute Care • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Margaret Wallace, NP is a certified Nurse Practitioner - Acute Care practicing in Westerly, RI. With approximately 10 years of clinical experience since completing medical education in 2016, Margaret Wallace delivers high-quality medical care to the local community at 25 WELLS ST.

Margaret Wallace maintains professional affiliations with Northeast Medical Group Inc, Hospital Medicine Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Wells St

Westerly, RI 028912922

Telephone 4015966000

Associated Practice Facility / Clinic

🏢 Anesthesia Associates Of Westerly Facility NPI 1265403612

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Westerly, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +3.0 yrs vs City Avg

City Avg: 7.0 Yrs

State Avg: 7.8 Yrs

Regional Practice Density

6 Specialists

Practicing in Westerly, RI (125 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (10 Years) 10 Yrs

Westerly Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	108	$261.27	$66.58
99213 Established patient office or other outpatient visit, typically 15 minutes	146	71	$182.00	$60.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	44	$383.48	$99.90
99213 Established patient office or other outpatient visit, typically 15 minutes	50	34	$182.00	$55.45
97597 Removal of tissue from wound, 20.0 sq cm or less	43	14	$186.00	$29.50
99238 Hospital discharge day management, 30 minutes or less	30	30	$280.40	$68.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	18	$127.60	$30.67
11042 Removal of skin and tissue, 20.0 sq cm or less	22	15	$286.50	$52.12
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$246.00	$71.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$377.11	$112.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$272.00	$75.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$415.00	$121.01
11042 Removal of skin and tissue, 20.0 sq cm or less	14	12	$298.07	$53.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$750.64	$145.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	96	$182.00	$65.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	115	$261.94	$67.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	52	$110.00	$37.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	44	$330.30	$103.58
99238 Hospital discharge day management, 30 minutes or less	47	45	$266.83	$68.24
99221 Initial hospital inpatient care per day, typically 30 minutes	38	32	$249.32	$73.84
97597 Removal of tissue from wound, 20.0 sq cm or less	32	29	$186.00	$30.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$272.00	$80.48
11042 Removal of skin and tissue, 20.0 sq cm or less	22	16	$246.00	$52.51
97597 Removal of tissue from wound, 20.0 sq cm or less	21	17	$186.00	$30.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$372.76	$114.68
11042 Removal of skin and tissue, 20.0 sq cm or less	18	11	$246.00	$53.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	66	$182.00	$60.32
99221 Initial hospital inpatient care per day, typically 30 minutes	77	59	$246.00	$90.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	44	$295.52	$91.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	35	$234.85	$62.71
11042 Removal of skin and tissue, 20.0 sq cm or less	22	18	$246.00	$54.70
11042 Removal of skin and tissue, 20.0 sq cm or less	21	15	$246.00	$54.64
99238 Hospital discharge day management, 30 minutes or less	13	13	$253.00	$63.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	81	$182.00	$64.11
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	123	123	$51.00	$18.53
99221 Initial hospital inpatient care per day, typically 30 minutes	87	67	$246.00	$91.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	35	$267.13	$93.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	33	$268.09	$94.57
11042 Removal of skin and tissue, 20.0 sq cm or less	42	22	$246.00	$55.78
97597 Removal of tissue from wound, 20.0 sq cm or less	31	13	$186.00	$32.73
11042 Removal of skin and tissue, 20.0 sq cm or less	20	19	$246.00	$55.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	12	$110.00	$32.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$333.00	$123.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$272.00	$83.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	86	$182.00	$51.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	39	$264.00	$92.27
97597 Removal of tissue from wound, 20.0 sq cm or less	53	23	$186.00	$30.59
97597 Removal of tissue from wound, 20.0 sq cm or less	47	39	$186.00	$32.60
99221 Initial hospital inpatient care per day, typically 30 minutes	41	39	$247.85	$92.90
11042 Removal of skin and tissue, 20.0 sq cm or less	40	27	$246.00	$56.69
11042 Removal of skin and tissue, 20.0 sq cm or less	33	25	$246.00	$54.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$110.00	$27.25
97598 Removal of tissue from wound, each additional 20.0 sq cm	29	12	$46.00	$21.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$272.00	$76.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$268.00	$78.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$333.00	$124.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	38	$286.35	$91.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	20	$199.04	$63.94
99239 Hospital discharge day management, more than 30 minutes	23	23	$298.00	$94.18
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$182.00	$56.53
97597 Removal of tissue from wound, 20.0 sq cm or less	20	16	$137.00	$21.26
11042 Removal of skin and tissue, 20.0 sq cm or less	14	11	$246.00	$56.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	291	152	$195.26	$64.01
99239 Hospital discharge day management, more than 30 minutes	181	168	$291.50	$94.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	178	104	$284.44	$91.67
99217 Hospital observation care on day of discharge	51	50	$196.92	$64.42
99225 Subsequent observation care, typically 25 minutes per day	14	12	$198.00	$64.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$553.62	$178.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	182	103	$189.37	$62.82
99239 Hospital discharge day management, more than 30 minutes	78	75	$282.56	$92.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	38	$271.95	$90.80
99217 Hospital observation care on day of discharge	34	34	$191.94	$63.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$529.35	$167.02

Medical Specialties & State Licenses

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License RI APRN01460

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License CT 6658

Definition to come...

Hospital & Practice Group Affiliations

Hospital Medicine Associates Llc

25 Wells St, Westerly, RI 028912922

Phone: 4013483325

Northeast Medical Group Inc

25 Wells St, Westerly, RI 028912922

Phone: 4015966000

Northeast Medical Group Inc

365 Montauk Ave, New London, CT 063204700

Phone: 8604443735

Practice Associates & Co-Workers

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

39 Associated Practitioners

Dr. Kevin Torres , DO

Emergency Medicine

NPI 1023063849

Doctor of Osteopathic Medicine (D.O.)

Elizabeth Greene

Dietitian, Registered

NPI 1083748321

Jeanne Ansel , PA

Physician Assistant

NPI 1124067178

Physician Assistant

Dr. Robert Nordness , MD

Emergency Medicine

NPI 1154360196

Doctor of Medicine (M.D.)

Laurie Scales

Dietitian, Registered

NPI 1184758773

Dr. Christopher Lehrach , MD

Emergency Medicine

NPI 1205875440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Nurse Practitioner (License #6658 in CT)

✅

NPI Profile Active August 01, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 01, 2017

Registered at 25 WELLS ST, WESTERLY, RI 028912922 (Tel: (401) 596-6000)

📍

Updated Practice Location August 01, 2017

Registered at 25 WELLS ST, WESTERLY, RI 028912922 (Tel: 4015966000)

👤

Provider Name / Credentials Updated August 01, 2017

Recorded as MARGARET WALLACE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Nurse Practitioner (License #APRN01460 in RI)

✅

NPI Profile Active December 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2016

Registered at 25 WELLS ST, WESTERLY, RI 028912922 (Tel: 8604606061)

📍

Updated Business Mailing Address December 09, 2016

Registered at 59 EAGLE RIDGE DR, GALES FERRY, CT 063351906 (Tel: 8604606061)

👤

Provider Name / Credentials Updated December 09, 2016

Recorded as MARGARET WALLACE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2016

Nurse Practitioner (License #APRN01460 in RI)

🟢

Initial NPI Registration & Enumeration December 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Margaret Wallace. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356885347

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 09, 2016

Last Update: July 21, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

25 Wells St

Westerly, RI 028912922

Phone: 4015966000

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.