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Dr. Danielle Charisse Wallace , MD

Pediatrics • Winter Park, FL

Active NPI 1114147006 Individual Practitioner Female Practitioner
Practice location in NPPES

1801 Lee Rd Ste 165
Winter Park, FL 32789

Call 4079750410 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1801 Lee Rd Ste 165

Winter Park, FL 32789

Telephone 4079750410
Fax 4079750413
Organization at the Same NPPES Address or Phone
Mecosta County Medical Center Facility NPI 1003740267

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in El Paso, TX; Vernal, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

23 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$217 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.

Open Payments general payments, program year 2025

All general payments: $101.19 across 4 records.

By nature of payment

  • Food and Beverage: $101.19 across 4 records.

Reporting-company totals

  • CSL Behring: $101.19 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Winter Park and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Wallace are from 2019.

18 active clinicians are listed under Pediatrics with a practice address in Winter Park, FL (4,001 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Winter Park

0% of these 18 clinicians have the CMS telehealth indicator.

5.6% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $101.19.

Manufacturer Payment Nature Product Type Amount ($)
CSL Behring
Food and Beverage
In-kind items and services
Hizentra General $26.04
CSL Behring
Food and Beverage
In-kind items and services
Hizentra General $25.46
CSL Behring
Food and Beverage
In-kind items and services
Hizentra General $25.08
CSL Behring
Food and Beverage
In-kind items and services
Hizentra General $24.61

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Lansoprazole Lansoprazole 12 360 $158.13 —
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 11 330 $59.34 —

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES FL ME129213

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA MD61340360

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES UT 8023169-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 4301088447

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX U0741

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2231891 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230627003321

Enrollment State Jurisdiction

TX

PECOS Control ID

7618020611

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1627 S 3050 W

Vernal, UT 840788719

Phone: 6167173171

4845 Alameda Ave

El Paso, TX 799052705

Phone: 9152155700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Beny Guedes , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1598768673

Doctor of Medicine (M.D.)

NPI 1013992759

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
📍
Updated Business Mailing Address June 13, 2023

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Pediatrics (license number reported to NPPES: WA MD61340360)

📍
Updated Practice Location February 11, 2019

Registered at 1801 LEE RD STE 165, WINTER PARK, FL 32789 (Tel: 4079750410)

📍
Updated Business Mailing Address February 11, 2019

Registered at 1801 LEE RD STE 165, WINTER PARK, FL 327892127 (Tel: 4079750410)

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NPI Profile Active September 03, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 03, 2014

Registered at 1627 S 3050 W, VERNAL, UT 840788719 (Tel: 6167173171)

📍
Business Mailing Address (Initial Record) September 03, 2014

Registered at 1627 S 3050 W, VERNAL, UT 840788719 (Tel: 6167173171)

👤
Provider Name / Credentials (Initial Record) September 03, 2014

Recorded as DANIELLE WALLACE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2014

Pediatrics (license number reported to NPPES: UT 8023169-1205)

🟢
Initial NPI Registration & Enumeration April 26, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114147006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: June 13, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Winter Park

Healthcare providers in Winter Park

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.