HAYLEY MICHELLE WALLACE
NPI 1033796297
Emergency Medicine in Clinton Township, MI
About Hayley Michelle Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAYLEY MICHELLE WALLACE (NPI 1033796297) is an individual emergency medicine provider in Clinton Township, Michigan, licensed in Michigan (5101028013) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Michigan State University College Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hayley Michelle Wallace 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.
Medicare Billing Reassignments
3Medicare enrollment records show Hayley Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Independent Emergency Physicians PC
- 273 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 239 clinicians in this Medicare group
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIHenry Ford Macomb Hospital
Acute Care Hospitals · Clinton Township, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIAscension Providence Rochester Hospital
Acute Care Hospitals · Rochester, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48038 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.
CLINTON TOWNSHIP, MI 48038
CLINTON TWP, MI 48038
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 Hayley Wallace's NPI number?
The NPI number for Hayley Wallace is 1033796297. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Hayley Wallace located?
Hayley Wallace practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2300.
What is Hayley Wallace's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Hayley Wallace enrolled in Medicare?
Yes. Hayley 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.
Which organizations bill Medicare for Hayley Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Wallace reassigns Medicare benefits to 3 organizations: Independent Emergency Physicians, P.C. (Southfield, MI), Independent Observation Physicians PLLC (Southfield, MI) and Professional Emergency Care, PC (Clinton Township, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hayley Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hayley Wallace accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Hayley 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 Hayley Wallace affiliated with any hospitals?
According to CMS data, Hayley Wallace is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Macomb Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Ascension Providence Rochester Hospital.
When was this NPI record last updated?
The NPPES record for Hayley Wallace was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Hayley Michelle Wallace · NPI 1033796297
Emergency Medicine physician in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1033796297 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101028013 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 15855 19 MILE RD, Clinton Township, MI 48038-3504
- **Phone:** (586) 263-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Independent Emergency Physicians, P.C. (NPI 1780791343, Southfield, MI); Independent Observation Physicians PLLC (NPI 1700119500, Southfield, MI); Professional Emergency Care, PC (NPI 1326235698, Clinton Township, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** May 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033796297) · Data from the CMS NPPES public registry.