MIKAILA WALLACE DO
NPI 1023687217
Family Medicine in Maryville, MO
About Mikaila Wallace Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKAILA WALLACE DO (NPI 1023687217) is an individual family medicine provider in Maryville, Missouri, licensed in Missouri (2024030678) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and maintains a secondary practice location in Lincoln.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Mikaila Wallace Do 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mosaic Life Care At St Joseph
Acute Care Hospitals · Saint Joseph, MOMosaic Medical Center Albany
Critical Access Hospitals · Albany, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64468 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mikaila Wallace's NPI number?
The NPI number for Mikaila Wallace is 1023687217. It was assigned to this individual provider in the NPPES registry on June 22, 2021.
Where is Mikaila Wallace located?
Mikaila Wallace practices at 2016 S Main St, Maryville, MO 64468. The listed phone number is (660) 562-2525.
What is Mikaila Wallace's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mikaila Wallace enrolled in Medicare?
Yes. Mikaila 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 Mikaila Wallace accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Mikaila 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 Mikaila Wallace affiliated with any hospitals?
According to CMS data, Mikaila Wallace is affiliated with Mosaic Life Care At St Joseph and Mosaic Medical Center Albany.
When was this NPI record last updated?
The NPPES record for Mikaila Wallace was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
