Andrea Wallace, FNP
Andrea Wallace, FNP is a Family Nurse Practitioner in Charlotte, NC, registered under NPI 1417455809. 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 14214 BALLANTYNE LAKE RD STE 100, Charlotte, NC 28277. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5010264 | NC | Family Nurse Practitioner primary |
| 5010264 | NC | Nurse Practitioner |
This provider holds licence 5010264 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 8729340849
- Enrollment ID
- I20180329000098
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; 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
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.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | 5010264 | NC | primary |
| 363L00000X | Nurse Practitioner | 5010264 | NC |
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.
| NPI | 1417455809 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 31, 2018 |
| Last updated | Jul 15, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | FNP |
| Practice address |
14214 BALLANTYNE LAKE RD STE 100 Charlotte, NC 28277 (704) 667-2650 |
| Mailing address |
PO BOX 19305 Charlotte, NC 28219 |
Number check
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 | 4 | 1 | 7 | 4 | 5 | 5 | 8 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 8 | 5 | 1 | 8 | 0 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
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.