Shannon Reeves Wallace , PA
Physician Assistant • Chesapeake, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shannon Wallace has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Shannon Wallace, PA was a registered Physician Assistant practicing in Chesapeake, VA. Throughout an active medical career spanning 12 years, Shannon Wallace provided care at the practice location at 736 BATTLEFIELD BLVD N until profile deactivation on 2025-02-06.
Historical Medicare Part B clinical services included established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance, injection, methylprednisolone acetate, 40 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
736 Battlefield Blvd N
Chesapeake, VA 233204941
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Chesapeake, VA
Practicing in Chesapeake, VA (4432 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
109 | 69 | $239.60 | $75.56 |
|
20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
|
77 | 43 | $583.18 | $82.22 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
75 | 48 | $285.53 | $104.88 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
47 | 35 | $25.89 | $5.48 |
|
J7321
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
|
39 | 20 | $298.23 | $74.97 |
|
J3490
Unclassified drugs
|
24 | 22 | $15.67 | $0.17 |
|
73564
X-ray of knee, 4 or more views
|
15 | 11 | $251.53 | $37.44 |
|
76942
Ultrasonic guidance imaging supervision and interpretation for insertion of needle
|
13 | 11 | $492.69 | $49.83 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant
Physician Assistant - Medical
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Emergency Medicine - Emergency Medical Services
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 06, 2025
NPI status registered as active in NPPES database
Registered at 5818 D HARBOUR VIEW BLVD, SUITE 150, SUFFOLK, VA 234353327 (Tel: 7572151400)
Registered at 5818 D HARBOUR VIEW BLVD, SUITE 150, SUFFOLK, VA 234353327 (Tel: 7572151400)
Recorded as SHANNON WALLACE, PA-C
Physician Assistant
NPI status registered as active in NPPES database
Registered at 736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 233204941 (Tel: 7574909388)
Registered at 4536 BONNEY RD, SUITE A, VIRGINIA BEACH, VA 234623818 (Tel: 7574909388)
Recorded as SHANNON WALLACE, P.A.
Physician Assistant (License #0110004256 in VA)
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
Mailing Address
4536 Bonney Rd, Suite A
Virginia Beach, VA 234623818
Phone: 7574909388
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