Crystal Nichole Wallace, NPC

  • Hattiesburg, MS
  • Nurse practitioner
NPI1629550496PAC ID1759625460
Medicare patients, 2024
416
Part D claims, 2024
744
Industry payments
$76
Affiliated sites
1
Medical groups
2
Practice address
415 S 28th Ave, Hattiesburg, MS 39401
Practice phone
Call (601) 579-5488
Professional email
Get professional email
Personal email
Get personal email
Mobile number
Get mobile number
Social profiles

Primary practice

Hattiesburg Clinic PA

Hattiesburg, Mississippi

See all 4 affiliations

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Crystal Nichole Wallace is a nurse practitioner in Hattiesburg, Mississippi

Crystal Wallace practices at Hattiesburg Clinic PA in Hattiesburg, Mississippi.

Crystal Wallace's NPI, 1629550496, was assigned on August 29, 2018. Crystal Wallace holds Mississippi license 902669.

NPI and contact details
Medicare PAC ID
1759625460
NPI enumeration date
August 29, 2018
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(601) 579-5488
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Female
Estimated age
34
Medical school graduation
2018

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Crystal Nichole Wallace practices at Hattiesburg Clinic PA in Hattiesburg, Mississippi

Crystal Wallace's primary practice is Hattiesburg Clinic PA, at 415 S 28th Ave, Hattiesburg, MS 39401 in Forrest County. The practice phone is (601) 579-5488.

  • Hattiesburg Clinic PA
    415 S 28th Ave, Hattiesburg, MS 39401 · Forrest CountyPhone(601) 579-5488

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Crystal Nichole Wallace is affiliated with 2 sites of care and 2 medical groups

Crystal Wallace's primary practice is Hattiesburg Clinic PA in Hattiesburg, Mississippi. The medical group on file is Hattiesburg Clinic. Dmand AI also links Crystal Wallace to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 4 affiliations for Crystal Wallace

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Crystal Nichole Wallace's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Crystal Wallace practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hattiesburg Clinic PAAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Crystal Nichole Wallace is one of 817 nurse practitioners in Mississippi

Nurse practitioner is Crystal Wallace's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Crystal Wallace is licensed in Mississippi.

Specialties and state licenses

  • Nurse practitioner, MississippiPrimaryLicense 902669 · taxonomy 363L00000X

Nurse practitioners near Crystal 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

Crystal Nichole Wallace treated 416 Medicare patients in 2024, average age 73

CMS counts 416 Medicare patients who saw Crystal Wallace in 2024. The largest group is 65 to 74, with 181 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 9% are also on Medicaid. Their average risk score is 1.16, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Crystal Wallace's median patient age at 52, with 59% women.

Medicare patients, 2024416
Average age73
Average risk score1.16
Also on Medicaid9%

Crystal Wallace's Medicare patients by age, 2024

Crystal Wallace's Medicare patients by sex, 2024

  • Women26263%
  • Men15437%

Chronic conditions among Crystal Wallace's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis61%
  4. Ischemic heart disease40%
  5. Anxiety30%
  6. Diabetes30%
  7. Mood disorders30%
  8. Depression29%

Share of Medicare patients with each condition. A patient can have several.

Crystal 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 52

Patient panel by sex, all payers

  • Women59%
  • Men41%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Crystal Nichole Wallace wrote 744 Medicare Part D claims in 2024

In 2024, Crystal Wallace wrote 744 Medicare Part D claims for 456 patients. 94% of them were for generic drugs.

Part D claims, 2024744
Part D patients456

Crystal Wallace's Part D claims by kind of drug, 2024

  • Generic698 claims94%
  • Brand-name and other46 claims6%

Drug classes CMS tracks in Crystal Wallace's Part D claims, 2024

  • Antibiotics59%439 of 744 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

Crystal Nichole Wallace offers telehealth to Medicare patients

Crystal Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Crystal Wallace as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Crystal Nichole Wallace received $76 in industry payments in 2025

CMS Open Payments shows 5 general payments to Crystal Wallace from 4 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Abbvie Inc. paid the most, $27.

Companies that paid Crystal Wallace the most, 2025 to 2025

Share is of all general payments to this clinician.

See all payments to Crystal Wallace

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Crystal Nichole Wallace's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Crystal Nichole 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 Crystal Nichole Wallace's NPI number?

Crystal Nichole Wallace's NPI number is 1629550496. It was assigned on August 29, 2018, and it is active in the NPI Registry.

What does Crystal Nichole Wallace specialize in?

Crystal Nichole Wallace is a nurse practitioner in Hattiesburg, Mississippi. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).

Where does Crystal Nichole Wallace practice?

Crystal Wallace practices at 415 S 28th Ave, Hattiesburg, MS 39401. Crystal Wallace's primary practice is Hattiesburg Clinic PA in Hattiesburg, Mississippi. Dmand AI also links Crystal Wallace to 1 group practice or clinic and 1 medical group.

What is Crystal Nichole Wallace's office phone number?

The practice phone on file for Crystal Wallace is (601) 579-5488.

What is Crystal Nichole Wallace's medical license number?

Crystal Wallace holds Mississippi license 902669.

What medical group is Crystal Nichole Wallace part of?

Crystal Wallace is linked to Hattiesburg Clinic. Dmand AI links Crystal Wallace to 1 more medical group.

Does Crystal Nichole Wallace accept Medicare?

Yes. CMS lists Crystal Wallace as accepting Medicare assignment.

Does Crystal Nichole Wallace offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Crystal Wallace as offering telehealth services.

How many Medicare patients does Crystal Nichole Wallace see?

CMS counts 416 Medicare patients who saw Crystal Wallace in 2024, with an average age of 73.

Has Crystal Nichole Wallace received payments from drug or device companies?

CMS Open Payments shows $76 in general payments to Crystal Wallace from 4 companies from 2025 to 2025. The largest total came from Abbvie Inc.

How long has Crystal Nichole Wallace been practicing?

Crystal Wallace graduated from medical school in 2018, 8 years ago.

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