Phillip Tyler Wallace, APRN
- Medicare patients, 2024
- 246
- MIPS score, 2024
- 92
- Hospital affiliations
- 1
- Industry payments
- $137
- Medical groups
- 2
- Practice address
- 4500 San Pablo Rd, Jacksonville, FL 32224
- Practice phone
- Call (904) 953-2000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Phillip Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Phillip Tyler Wallace is a nurse practitioner in Jacksonville, Florida
Phillip Wallace practices at Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic.
Phillip Wallace's NPI, 1821647447, was assigned on September 6, 2019. Phillip Wallace holds Florida license APRN11003275.
- NPI
- 1821647447NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2961734421
- NPI enumeration date
- September 6, 2019
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (904) 953-2000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 33
- Medical school graduation
- 2019
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Phillip Tyler Wallace practices at 2 locations in Jacksonville, Florida
Phillip Wallace's primary practice is Mayo Clinic Hospital, at 4500 San Pablo Rd, Jacksonville, FL 32224 in Duval County. The practice phone is (904) 953-2000. The NPI Registry lists Phillip Wallace's practice address as 800 Prudential Dr, Jacksonville, FL 32207.
- Mayo Clinic HospitalPrimary4500 San Pablo Rd, Jacksonville, FL 32224 · Duval CountyPhone(904) 953-2000
- NPI Registry address800 Prudential Dr, Jacksonville, FL 32207 · Duval County
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Phillip Tyler Wallace is affiliated with 1 site of care and 2 medical groups
Phillip Wallace's primary practice is Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic. The medical group on file is Mayo Clinic Jacksonville. Dmand AI also links Phillip Wallace to 1 more medical group, named with a free account.
Sources: Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Phillip Tyler Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Phillip Wallace practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mayo Clinic Hospital | Available with a free account |
| +1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Phillip Tyler Wallace is one of 5,914 nurse practitioners in Florida
Nurse practitioner is Phillip Wallace's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Phillip Wallace is licensed in Florida.
Specialties and state licenses
- Nurse practitioner, FloridaPrimary
Nurse practitioners near Phillip Wallace
Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Phillip Tyler Wallace treated 246 Medicare patients in 2024, average age 77
CMS counts 246 Medicare patients who saw Phillip Wallace in 2024. The largest group is 75 to 84, with 106 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 12% are also on Medicaid. Their average risk score is 3.32, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Phillip Wallace's median patient age at 76, with 100% women.
Phillip Wallace's Medicare patients by age, 2024
Phillip Wallace's Medicare patients by sex, 2024
- Women11948%
- Men12752%
Chronic conditions among Phillip Wallace's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Ischemic heart disease74%
- Heart failure68%
- Arthritis62%
- Chronic kidney disease57%
- COPD56%
- Mood disorders56%
Share of Medicare patients with each condition. A patient can have several.
Phillip Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 76
Patient panel by sex, all payers
- Women100%
- Men0%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Phillip Tyler Wallace scored 92 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 92 out of 100 for Phillip Wallace for performance year 2024, reported as part of a group. Phillip Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Phillip Wallace's MIPS scores, performance year 2024
- 92of 100Final score
- 85.7of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 78of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
Phillip Tyler Wallace received $137 in industry payments in 2025
CMS Open Payments shows 6 general payments to Phillip Wallace from 3 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. GlaxoSmithKline, LLC. paid the most, $60.
Companies that paid Phillip Wallace the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Phillip Tyler Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Phillip Tyler Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Phillip Tyler Wallace's NPI number?
Phillip Tyler Wallace's NPI number is 1821647447. It was assigned on September 6, 2019, and it is active in the NPI Registry.
What does Phillip Tyler Wallace specialize in?
Phillip Tyler Wallace is a nurse practitioner in Jacksonville, Florida. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).
Where does Phillip Tyler Wallace practice?
Phillip Wallace practices at 4500 San Pablo Rd, Jacksonville, FL 32224. Phillip Wallace also practices at 800 Prudential Dr, Jacksonville, FL 32207. Phillip Wallace's primary practice is Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic. Dmand AI also links Phillip Wallace to 1 medical group.
What is Phillip Tyler Wallace's office phone number?
The practice phone on file for Phillip Wallace is (904) 953-2000.
What is Phillip Tyler Wallace's medical license number?
Phillip Wallace holds Florida license APRN11003275.
Which hospitals is Phillip Tyler Wallace affiliated with?
Phillip Wallace practices at Mayo Clinic Hospital in Jacksonville, Florida.
What medical group is Phillip Tyler Wallace part of?
Phillip Wallace is linked to Mayo Clinic Jacksonville. Dmand AI links Phillip Wallace to 1 more medical group.
Does Phillip Tyler Wallace accept Medicare?
Yes. CMS lists Phillip Wallace as accepting Medicare assignment.
What is Phillip Tyler Wallace's MIPS score?
Phillip Wallace's MIPS final score for performance year 2024 is 92 out of 100, reported as part of a group.
How many Medicare patients does Phillip Tyler Wallace see?
CMS counts 246 Medicare patients who saw Phillip Wallace in 2024, with an average age of 77.
Has Phillip Tyler Wallace received payments from drug or device companies?
CMS Open Payments shows $137 in general payments to Phillip Wallace from 3 companies from 2025 to 2025. The largest total came from GlaxoSmithKline, LLC.
How long has Phillip Tyler Wallace been practicing?
Phillip Wallace graduated from medical school in 2019, 7 years ago.
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