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

Madison Wallace, APN

Individual provider Family Nurse Practitioner · NPI 1740703180

Madison Wallace, APN is a Nurse Practitioner in Covington, Tennessee. Qualified in 2017, 9 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

1995 Highway 51 S Ste 204
Covington, TN 38019-3655
Phone: (901) 475-5305
Fax: (901) 475-5307
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22760 (TN)

Record details

NPI number1740703180
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Covington