Carla Wallace Nurse Practitioner, PLLC
NPI 1972322212ActiveOrganization· Nurse Practitioner, Adult Health· Pearland, TX
Nurse Practitioner, Adult Health in Pearland, Texas, registered in NPPES in October 2024. The authorized official on file is Carla Wallace, GNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972322212 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2024 |
| Last updated in NPPES | Feb 20, 2026 |
| Certified by provider | Feb 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
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 Part B Supplier - Clinic/Group Practice (TX) |
|---|
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