Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Leanne Wallace, NP

Individual provider Registered Nurse · NPI 1689932360

Marissa Leanne Wallace, NP is a Nurse Practitioner in New Windsor, New York. Qualified in 2017, 9 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3078 Route 9W Ste 100
New Windsor, NY 12553-6751
Phone: (845) 561-3310
Fax: (845) 561-8728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308236 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 653689-1 (NY)

Record details

NPI number1689932360
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 1, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Windsor