JAMIE WALLACE
NPI 1285406215
Nurse Anesthetist, Certified Registered in East Norriton, PA
NPI Status: Active since October 24, 2023
Contact Information
559 W GERMANTOWN PIKE
EAST NORRITON, PA
ZIP 19403
Phone: (484) 622-1248
Fax: (484) 622-1269
- Individual
- Female
- Nurse Anesthetist, Certified Registered
- PECOS Enrolled
About JAMIE WALLACE
This page provides the complete NPI Profile along with additional information for Jamie Wallace, a provider established in East Norriton, Pennsylvania with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1285406215 assigned on October 2023. The practitioner's primary taxonomy code is 367500000X with license number RN676582 (PA). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1285406215
- Provider Name
- JAMIE WALLACE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403
- Location Phone
- (484) 622-1248
- Location Fax
- (484) 622-1269
- Mailing Address
- 101 E OLNEY AVE STE 400 PHILADELPHIA, PA 19120
- Mailing Phone
- (215) 456-1825
- Mailing Fax
- (484) 622-1269
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-24-2023
- Last Update Date
- 06-11-2025
- Code Navigator
Location Map
Secondary Locations
- 544 E Front St
Danville, PA 17821
(201) 961-4998
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN676582
- License State
- PA
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WC0200X | Nursing Service Providers | Registered Nurse | RN676582 (PA) |
Medicare Participation & PECOS Enrollment Status
Jamie Wallace is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19403 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.17
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $34.29
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.47
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $18.61
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 4 | 0 | 6 | 2 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 8 | 0 | 12 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 8 + 0 + 1 + 2 + 2 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1285406215 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346208857 | DR. DAVID JOSEPH HOFFMAN M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (215) 456-7890 |
| 1194705012 | CHRISTOPHER J WONG D.O. Individual | Anesthesiology | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-1244 |
| 1164486734 | PAUL H BELSER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-1435 |
| 1770547358 | PATRICIA M. PEROSIO MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-1435 |
| 1497705776 | JOHN E. DEVENNEY MD Individual | Radiology (Diagnostic Radiology) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-0700 |
| 1982654596 | LINDA L KURTZ DO Individual | Radiology (Diagnostic Radiology) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-0700 |
| 1073563540 | NORMAN F. RUTTENBERG DO Individual | Radiology (Neuroradiology) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-0700 |
| 1851344360 | SRINIVASA R. TIRUMALAREDDY MD Individual | Internal Medicine | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-7071 |
| 1427096189 | TARA CHAPMAN PA-C Individual | Physician Assistant (Medical) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-7071 |
| 1568403277 | RAHAT SAYED CRNP Individual | Nurse Practitioner (Adult Health) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-1365 |
| 1639192206 | NIKKI T. SISTRUN MD Individual | Radiology (Diagnostic Radiology) | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-0700 |
| 1164721569 | COURTNEY B. HARTMANN CRNA Individual | Nurse Anesthetist, Certified Registered | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (215) 456-7000 |
| 1104192590 | EINSTEIN MEDICAL CENTER MONTGOMERY Organization | General Acute Care Hospital | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-1000 |
| 1225373392 | LORI JO YAKISH Individual | Nurse Anesthetist, Certified Registered | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (215) 456-6850 |
| 1851636906 | MARK ANTHONY CANE CRNA Individual | Nurse Anesthetist, Certified Registered | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-1000 |
| 1235153073 | ROSE OBRIEN CRNA Individual | Nurse Anesthetist, Certified Registered | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (215) 456-6850 |
| 1053583849 | DR. PRACHI MAHENDRA MODI M.D. Individual | Emergency Medicine | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-0611 |
| 1477716371 | DR. STEFAN VALERIU NEAGU MD Individual | Internal Medicine | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-7071 |
| 1366524712 | MICHELLE LYNN DJEVHARIAN RN, CNM Individual | Obstetrics & Gynecology | 559 W GERMANTOWN PIKE EAST NORRITON, PA 19403 (484) 622-2232 |
| 1033181763 | KAREN P ANGELL MD Individual | Pediatrics | 559 W GERMANTOWN PIKE ROOM 2242 EAST NORRITON, PA 19403 (484) 622-2244 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285406215, enumerated in the NPI registry as an "individual" on October 24, 2023
The provider is located at 559 W Germantown Pike East Norriton, Pa 19403 and the phone number is (484) 622-1248
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $137.17 with an average copayment of $34.29 for new patient appointments. Established patients should expect a typical charge of $74.47 and an average copayment of 18.61. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 24, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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