Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Ann Wallace, NP-C

Individual provider Family Nurse Practitioner · NPI 1457697435

Kimberly Ann Wallace, NP-C is a Nurse Practitioner in Morgantown, West Virginia. Qualified in 2012, 14 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
14
Licensed in
WV
In the registry since
2012
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1 Medical Center Dr
Morgantown, WV 26506
Phone: (304) 598-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 74136 (WV)

Record details

NPI number1457697435
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 20, 2012
Last updated in NPPESDecember 20, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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