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Marysa P. Wallace, AGNP-C

NPI 1932989357ActiveIndividual· Nurse Practitioner· Fayetteville, GA

Nurse Practitioner (AGNP-C) in Fayetteville, Georgia, trained at Mercer University School of Medicine (class of 2016). In 2024 Medicare paid $10,550 for 131 patients, and Part D covered 53 of their prescriptions, 81% of them generic. Janssen Biotech, Inc. was the largest of 32 companies reporting payments in 2025, $2,806 in all, mostly food and beverage.

Overview

NPI1932989357
StatusActive
Entity typeIndividual
CredentialAGNP-C
Sole proprietorNo
NPI issuedOct 3, 2023
Last updated in NPPESAug 14, 2024
Certified by providerAug 14, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XRN259981GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients131
Services billed233 across 8 procedure codes
Paid by Medicare$10,550

Part D prescriptions in 2024

Prescriptions (claims)53 · 69 30-day fills
Patients25
Total drug cost$8,017
Generic share81% of claims

Medicare sources and data years

Education and affiliations

Medical schoolMercer University School of Medicine
Graduation year2016
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$2,806 · 69 payments from 32 companies
  • 2024$1,794 · 45 payments from 25 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$2,806 · 69 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Fayetteville

All 58 nurse practitioners in Fayetteville · All nurse practitioners in Georgia