DARCIE L WALLACE PA-C
NPI 1083648489
Physician Assistant - Surgical in Saint Louis, MO

Active since July 10, 2006
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-6000 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darcie L Wallace Pa-c NPPES

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

DARCIE L WALLACE PA-C (NPI 1083648489) is an individual surgical provider in Saint Louis, Missouri, licensed in Missouri (118539) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083648489
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDARCIE L WALLACECredential: PA-C
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing AddressPo Box 180575Saint Louis, MO 63150-3511 · (314) 251-6000
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 22, 2014
NPI 1083648489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MO · 118539
615 S NEW BALLAS RD, Saint Louis, MO 63141

Other Identifiers 2

Other1016860MO · Nccpa Cert #
Medicare ID-Type Unspecified004085007MO

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.

Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Dentist (General Practice)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

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 Darcie Wallace's NPI number?

The NPI number for Darcie Wallace is 1083648489. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Darcie Wallace located?

Darcie Wallace practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6000.

What is Darcie Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Darcie Wallace was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.