Nichole Wallace, PA
NPI 1114379708ActiveIndividual· Physician Assistant, Medical· Brooklyn, NY
Physician Assistant, Medical (PA) with Carespot of Orlando Hsi Urgent Care LLC, practicing in Brooklyn, New York. Their prescriptions cost Medicare Part D more than their services did: $26,556 for 364 claims, against $11,339 paid for services in 2024. Emd Serono, Inc. reported $19.53 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1114379708 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 6, 2016 |
| Last updated in NPPES | Aug 18, 2023 |
| Certified by provider | Aug 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 137 |
|---|---|
| Services billed | 300 across 21 procedure codes |
| Paid by Medicare | $11,339 |
Part D prescriptions in 2024
| Prescriptions (claims) | 364 · 384 30-day fills |
|---|---|
| Patients | 267 |
| Total drug cost | $26,556 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Carespot of Orlando Hsi Urgent Care LLCOrlando, FL · 57 clinicians
Industry payments (Open Payments)
- 2025$19.53 · 1 payment from 1 company
- 2024$17.64 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Emd Serono, Inc. | $19.53 | 1 |
What the 2025 payments were for
- Food and Beverage$19.53 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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