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

MS. Katie Lynn Wallace, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1952703092

MS. Katie Lynn Wallace, FNP-BC is a Nurse Practitioner in Burlington, Massachusetts. Graduated from University of Massachusetts Medical School in 2014, 12 years ago. Practices with Dermphysicians of New England LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Trained at
University of Massachusetts Medical School
Licensed in
MA
In the registry since
2014
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

67 S Bedford St Ste 101E
Burlington, MA 01803-5152
Phone: (781) 744-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-1550 — (781) 744-8085

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2275454 (MA)

Record details

NPI number1952703092
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 19, 2014
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Dermphysicians Of New England Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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