Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Cory Wallace, MSN, AGPCNP-BC
Nurse Practitioner in Somerset, NJ · enumerated 2022.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1255066411
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Registry record
Entity type Individual (Type 1)
Name Mr. Cory Wallace
Credential MSN, AGPCNP-BC
Sex Male
Practice address 27 Clyde Rd Ste 102, Somerset, NJ, 08873
Phone (732) 246-0057
Enumeration date Jul 21, 2022
Last updated in NPPES Mar 9, 2026
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 26NJ15461200 (NJ) Primary
163WG0000X General Practice Registered Nurse Nursing Service Providers · License 26NR20435100 (NJ) Secondary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Cory Wallace practice?
The practice location on file with NPPES is in Somerset, NJ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Cory Wallace?
The National Provider Identifier (NPI) for Cory Wallace is 1255066411, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Barbara Etheridge Family Medicine Physician · Somerset, NJ NPI 1184792814 Etheridge Family Medicine, L.L.C. Family Medicine Physician · Somerset, NJ NPI 1700954476 Sandi Fields Clinical Social Worker · Somerset, NJ NPI 1588060982 Jeanne Girardy Family Medicine Physician · Somerset, NJ NPI 1588055156 John Fechter Clinical Neuropsychologist · Somerset, NJ NPI 1770076580 New Jersey Neuropsychology, LLC Clinic/Center · Somerset, NJ NPI 1710471875
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-09.