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

Lisa Wallace, CNP

Individual provider Acute Care Nurse Practitioner · NPI 1013349000

Lisa Wallace, CNP is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2013, 13 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and South Carolina.

Years since qualifying
13
Licensed in
OH, SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 Patewood Dr Ste B300
Greenville, SC 29615-6338
Phone: (864) 454-4200
Fax: (864) 454-4205
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18101 Lorain Ave, Cleveland, OH 44111-5612 — (216) 476-7000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 28748 (SC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence NP-14866 (OH)

Record details

NPI number1013349000
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 1, 2013
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenville