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

Paige Marie Wallace

Individual provider Acute Care Nurse Practitioner · NPI 1326686403

Paige Marie Wallace is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2019, 7 years ago. Practices with Advanced Gastroenterology Associates, PA, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone: (817) 291-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP143787 (TX)

Record details

NPI number1326686403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advanced Gastroenterology Associates, Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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