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

Vicki Wallace, NP

Individual provider Nurse Practitioner · NPI 1689640195

Vicki Wallace, NP is a Nurse Practitioner in Fredericksburg, Virginia. Qualified in 2002, 24 years ago. Practices with Mary Washington Healthcare Physicians, a 287-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
24
Licensed in
DC, VA
In the registry since
2006
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.

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Practice location Address checks out

1101 Sam Perry Blvd Ste 211
Fredericksburg, VA 22401
Phone: (540) 372-7792
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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 0024166526 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN67063 (DC)

Record details

NPI number1689640195
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESFebruary 1, 2017
Mailing address1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mary Washington Healthcare Physicians — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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