Individual provider

Harolyn Wallace, ANP

Family Nurse Practitioner Nurse Practitioner Medicare enrolled

Harolyn Wallace, ANP is a Family Nurse Practitioner in Alice, TX, registered under NPI 1104169911. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 201 MARIPOSA, Alice, TX 78332. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

201 MARIPOSA, Alice, TX 78332 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
AP122716 TX Family Nurse Practitioner primary
600813 TX Nurse Practitioner

This provider holds licence AP122716 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
2163660358

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family AP122716 TX primary
363L00000X Nurse Practitioner 600813 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104169911 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 29, 2013
Last updatedNov 19, 2024
StatusActive
Sole proprietorNo
CredentialANP
Practice address 201 MARIPOSA
Alice, TX 78332
(361) 664-8811
Fax (361) 664-8992
Mailing address 12223 BROOKVALLEY DR
Houston, TX 77071
Other identifiers 8396NA · BCBS (TX)
320242601 (TX)
This record was updated on Nov 19, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104169911 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 6 9 9 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 6 9 9 2

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104169911?
NPI 1104169911 is the National Provider Identifier assigned to Harolyn Wallace, ANP in Alice, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Harolyn Wallace, ANP?
The phone number on file with NPPES is (361) 664-8811, last updated Nov 19, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Harolyn Wallace, ANP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104169911 a valid number?
Yes. 1104169911 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.