DR. REBECCA M WALLACE PSY.D.
NPI 1114472735
Psychologist - Clinical in Oklahoma City, OK
About Dr. Rebecca M Wallace Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REBECCA M WALLACE PSY.D. (NPI 1114472735) is an individual clinical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1272) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Rebecca M Wallace Psy.d. 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 Reassignment
Medicare enrollment records show Rebecca Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Orleans, LA 70118
- Reassigned Medicare billing, Louisiana enrollment
- 98 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Childrens Hospital
Childrens · New Orleans, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73104 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.
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
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 Rebecca Wallace's NPI number?
The NPI number for Rebecca Wallace is 1114472735. It was assigned to this individual provider in the NPPES registry on August 24, 2016. The provider is also known as Dr. Becca M Wallace Psy.D..
Where is Rebecca Wallace located?
Rebecca Wallace practices at 1200 Childrens Ave Ste 12400, Oklahoma City, OK 73104. The listed phone number is (405) 271-4407.
What is Rebecca Wallace's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Rebecca Wallace enrolled in Medicare?
Yes. Rebecca 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 organization bills Medicare for Rebecca Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Wallace reassigns Medicare benefits to Children's Hospital (New Orleans, LA). The 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 Rebecca Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Wallace accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Rebecca 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 Rebecca Wallace affiliated with any hospitals?
According to CMS data, Rebecca Wallace is affiliated with Childrens Hospital.
When was this NPI record last updated?
The NPPES record for Rebecca Wallace was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Rebecca M Wallace, PSY.D. · NPI 1114472735
Clinical provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since August 24, 2016.
## Identity
- **NPI:** 1114472735 (Entity type: Individual)
- **Enumerated:** August 24, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 1272 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 CHILDRENS AVE, STE 12400, Oklahoma City, OK 73104-4637
- **Phone:** (405) 271-4407
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Children's Hospital (NPI 1306156138, New Orleans, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 28, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1114472735) · Data from the CMS NPPES public registry.