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

Marissa Leanne Wallace, NP

Individual provider Registered Nurse · NPI 1689932360

Marissa Leanne Wallace, NP is a Nurse Practitioner in New Windsor, New York. Qualified in 2017, 9 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3078 Route 9W Ste 100
New Windsor, NY 12553-6751
Phone: (845) 561-3310
Fax: (845) 561-8728
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308236 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 653689-1 (NY)

Record details

NPI number1689932360
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 1, 2012
Last updated in NPPESJuly 21, 2022
Mailing address3078 Route 9w, Suite 100, New Windsor, NY 12553

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 Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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