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EDWINA WALLACE
NPI 1003382938
Counselor - Mental Health in Battle Creek, MI

Active since October 18, 2018PECOS Enrolled
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017(269) 966-1460(269) 966-2844 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwina Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWINA WALLACE (NPI 1003382938) is an individual mental health provider in Battle Creek, Michigan, licensed in Michigan (6401011732) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003382938
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEDWINA WALLACE
Location Address140 MICHIGAN AVE WBattle Creek, MI 49017-3602
Mailing Address140 Michigan Ave WBattle Creek, MI 49017-3602 · (269) 966-1460 · Fax (269) 966-2844
Phone(269) 966-1460
Fax(269) 966-2844
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 18, 2018
✔ NPI 1003382938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401011732
140 MICHIGAN AVE W, Battle Creek, MI 49017
Open in Google Maps ↗

Other Identifiers 1

Other6401011732MI · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwina Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577913144
PECOS Enrollment IDI20231221003400
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA VANDER-LUGT
Social Worker (Clinical)
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460
WILLIAM H ALLEN JR.
Registered Nurse
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460
DENNIS CASEY
Licensed Practical Nurse
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460
KEVIN D VREDEVELD LMSW
Social Worker
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460
MICHELLE DE LOS SANTOS LMSW
Social Worker (Clinical)
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460
CASEY J COKER
Psychologist
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460
JOHN BULKO
Social Worker (Clinical)
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460
CHRISTIN M COLON
Social Worker
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017
Calhoun County (269) 966-1460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwina Wallace's NPI number?

The NPI number for Edwina Wallace is 1003382938. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Edwina Wallace located?

Edwina Wallace practices at 140 Michigan Ave W, Battle Creek, MI 49017. The listed phone number is (269) 966-1460.

What is Edwina Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Edwina Wallace enrolled in Medicare?

Yes. Edwina Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Edwina Wallace accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list Edwina Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwina Wallace was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.