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MIATA WALLACE PA
NPI 1013656990
Physician Assistant in Lincoln, NE

Active since May 31, 2022PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
1500 S 58TH ST STE 800, LINCOLN, NE 68506(402) 483-8600(402) 483-8689 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miata Wallace Pa NPPES

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

MIATA WALLACE PA (NPI 1013656990) is an individual physician assistant in Lincoln, Nebraska, licensed in Nebraska (2760) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013656990
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIATA WALLACECredential: PA
Location Address1500 S 58TH ST STE 800Lincoln, NE 68506-1407
Mailing Address1500 S 58th St Ste 800Lincoln, NE 68506-1407 · (402) 483-8600 · Fax (402) 483-8689
Phone(402) 483-8600
Fax(402) 483-8689
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 31, 2022
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1013656990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NE · 2760
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 S 58TH ST STE 800, Lincoln, NE 68506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Miata Wallace Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456730126
PECOS Enrollment IDI20220627002051
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health Nebraska Heart

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280128
Location7500 South 91st StLincoln, NE 68526 · Lancaster County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers11 claims11 services$46.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Miata Wallace's NPI number?

The NPI number for Miata Wallace is 1013656990. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Miata Wallace located?

Miata Wallace practices at 1500 S 58th St Ste 800, Lincoln, NE 68506. The listed phone number is (402) 483-8600.

What is Miata Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Miata Wallace enrolled in Medicare?

Yes. Miata Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Miata Wallace accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Miata 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.

Is Miata Wallace affiliated with any hospitals?

According to CMS data, Miata Wallace is affiliated with Bryan Medical Center and Chi Health Nebraska Heart.

When was this NPI record last updated?

The NPPES record for Miata Wallace was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.