Crystal Nichole Wallace, NPC
- 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
Primary practice
Hattiesburg Clinic PA
Hattiesburg, Mississippi
Find Crystal 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.
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
- 1629550496NPI Registry (opens in a new tab)
- 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
- Get number
- 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 PA415 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.
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.
| Site | EHR vendor and product |
|---|---|
| Hattiesburg Clinic PA | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across each health system and 6.2K+ hospitals, with verified contacts in the same login.
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, MississippiPrimary
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.
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
- High blood pressure75%
- High cholesterol75%
- Arthritis61%
- Ischemic heart disease40%
- Anxiety30%
- Diabetes30%
- Mood disorders30%
- 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.
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)
For MedTech and pharma teams
Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.
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.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Crystal Nichole 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 Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation 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) |
| Part D prescribing | Medicare Part D Prescribers - 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) |
| 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 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.
Selling to nurse practitioner practices?
See nurse practitioners in Mississippi by site of care and group
Find the practices, groups and hospitals they work with, and the right people to contact at each.
- 30 days free
- Self-serve
- No credit card