MRS. LISA CAROL WALLACE FNP-BC NPI 1003423658

Nurse Practitioner (Family) in Allerton, IA

NPI 1003423658 Individual Female Nurse Practitioner Family

About LISA WALLACE

Lisa Wallace is a provider established in Allerton, Iowa and her medical specialization is nurse practitioner (family) . The NPI number of Lisa Wallace is 1003423658 and was assigned on September 2020. The practitioner's primary taxonomy code is 363LF0000X with license number A160503 (IA). The provider is registered as an individual and her NPI record was last updated one year ago.

A nurse practitioner (NP) like Mrs. Lisa Carol Wallace Fnp-bc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Lisa Wallace is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003423658

Provider NameMRS. LISA CAROL WALLACE FNP-BC
Provider Location Address2418 180TH ST ALLERTON, IA 50008
Provider Mailing Address2418 180TH ST ALLERTON, IA 50008
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-28-2020
Last Update Date09-28-2020


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.A160503
License StateIA

Business Address

MRS. LISA CAROL WALLACE FNP-BC
2418 180TH ST
ALLERTON, IA
ZIP 50008
Phone: (641) 203-0726

Get Directions


Mailing Address

MRS. LISA CAROL WALLACE FNP-BC
2418 180TH ST
ALLERTON, IA
ZIP 50008
Phone: (641) 203-0726



Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376603589 JAMES LESLIE WHEELER LPN
Individual
Licensed Practical Nurse2418 180TH ST
ALLERTON, IA 50008
(641) 872-1443

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.