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Active NPI 1457561615 Individual Practitioner Male Practitioner

Brian Wallace , NP

Nurse Practitioner - Primary Care • Tyler, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Brian Wallace, NP is a certified Nurse Practitioner - Primary Care practicing in Tyler, TX. With approximately 19 years of clinical experience since completing medical education in 2007, Brian Wallace delivers high-quality medical care to the local community at 1910 ROSELAND BLVD.

Brian Wallace is affiliated with Intermountain Medical Group Denver Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1910 Roseland Blvd

Tyler, TX 757014246

Telephone 9035330644
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Tyler, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +2.7 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Tyler, TX (828 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (19 Years) 19 Yrs
Tyler Specialty Average (16.3 Years) 16.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
64 34 $282.00 $98.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
28 28 $285.75 $92.17
99213 Established patient office or other outpatient visit, typically 15 minutes
18 14 $184.18 $76.22

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CO RN 169685C

Definition to come...

Hospital & Practice Group Affiliations

Intermountain Medical Group Denver Llc

21750 E Quincy Ave, Aurora, CO 800152894

Phone: 3038126880

Intermountain Medical Group Denver Llc

8350 Colorado Blvd, Firestone, CO 805046803

Phone: 3036731370

Intermountain Medical Group Denver Llc

None, Broomfield, CO 80021

Phone: 7208074461

Intermountain Medical Group Denver Llc

500 Eldorado Blvd, Broomfield, CO 800213408

Practice Associates & Co-Workers

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

18 Associated Practitioners
Jeffrey Pilette , FNP

Nurse Practitioner - Family

NPI 1033155270

Family Nurse Practitioner

William Williams , PA-C

Physician Assistant

NPI 1093814949

Physician Assistant (Certified)

Carolyn Johnson , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1114482569

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Ramiro Villena , MD

Internal Medicine

NPI 1184690968

Doctor of Medicine (M.D.)

Dr. C. Branch , DO

Family Medicine

NPI 1205814753

Doctor of Osteopathic Medicine (D.O.)

Dr. Dana Park , MD

Internal Medicine

NPI 1215036165

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 March 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2010

Registered at 1910 ROSELAND BLVD, TYLER, TX 757014246 (Tel: 9035330644)

📍
Updated Business Mailing Address March 12, 2010

Registered at 1910 ROSELAND BLVD, TYLER, TX 757014246 (Tel: 9035330644)

👤
Provider Name / Credentials Updated March 12, 2010

Recorded as BRIAN WALLACE, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2010

Nurse Practitioner (License #RN 169685C in CO)

🟢
Initial NPI Registration & Enumeration May 23, 2007

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: 1457561615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: March 12, 2010
Sole Proprietor: No

Mailing Address

1910 Roseland Blvd

Tyler, TX 757014246

Phone: 9035330644

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.