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

MS. Camille Anne Wallace, FNP

Individual provider Family Nurse Practitioner · NPI 1720829468

MS. Camille Anne Wallace, FNP is a Nurse Practitioner in Woodstock, New York. Qualified in 2024, 2 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

404 Zena Rd Ste 1
Woodstock, NY 12498-2627
Phone: (845) 679-5271
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 354716 (NY)

Record details

NPI number1720829468
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESJuly 4, 2024
Certification dateJuly 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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