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Dr. Nicole Wallace , DC, AVCA

Chiropractor β€’ Buffalo, NY

Active NPI 1669326773 Individual Practitioner Female Practitioner
Practice location in NPPES

2929 Main St Ste 2
Buffalo, NY 142141877

Call 7164722370 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

2929 Main St Ste 2

Buffalo, NY 142141877

Telephone 7164722370
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portsmouth, NH. See the list

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

CMS Doctors and Clinicians lists 1 group name: The Lovelace Institute For Spine And Sports Injuries Incorporated. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2026

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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, CMS release of October 2, 2026; Medicare.gov, β€œDoes 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, CMS release of October 2, 2026.

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

Compared with the same specialty in Buffalo and New York

110 active clinicians are listed under Chiropractor with a practice address in Buffalo, NY (4,578 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Buffalo

0% of these 110 clinicians have the CMS telehealth indicator.

25.5% of these 110 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-25
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES NH 1611

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20260607000125

Enrollment State Jurisdiction

NH

PECOS Control ID

8921579335

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

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

The Lovelace Institute For Spine And Sports Injuries Incorporated

19 C Village Circle, Alton, NH 03809

Phone: 6038754000

The Lovelace Institute For Spine And Sports Injuries Incorporated

8 Greenleaf Woods Dr, Portsmouth, NH 038015454

Phone: 6034314200

Secondary Practice Locations

8 Greenleaf Woods Dr Unit 203

Portsmouth, NH 038015454

Phone: 6034314200

Career & Practice History Timeline

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

7 Historical Events
βœ…
NPI Profile Active February 25, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 25, 2026

Registered at 2929 MAIN ST STE 2, BUFFALO, NY 142141877 (Tel: 7164722370)

πŸ“
Business Mailing Address (Initial Record) February 25, 2026

Registered at 4649 SENECA ST, WEST SENECA, NY 142244925

🏒
Secondary Practice Location Registered February 25, 2026

Additional practice office at 8 Greenleaf Woods Dr Unit 203, Portsmouth, NH 038015454

πŸ‘€
Provider Name / Credentials (Initial Record) February 25, 2026

Recorded as NICOLE WALLACE, DC, AVCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

Chiropractor (license number reported to NPPES: NH 1611)

🟒
Initial NPI Registration & Enumeration February 25, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669326773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2026
Last Update: February 25, 2026
Sole Proprietor: Yes

Other Chiropractors in Buffalo

All Chiropractors in Buffalo

Mailing Address

4649 Seneca St

West Seneca, NY 142244925

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.