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MARIAH WALLACE PA-C
NPI 1124806682
Physician Assistant in Mt Pleasant, PA

Active since September 18, 2023PECOS Enrolled
508 S CHURCH ST, MT PLEASANT, PA 15666(724) 547-7092(724) 547-7096 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, May 7, 2026, Jun 23, 2025 (3 updates tracked since 2025).

About Mariah Wallace Pa-c NPPES

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

MARIAH WALLACE PA-C (NPI 1124806682) is an individual physician assistant in Mt Pleasant, Pennsylvania, licensed in Pennsylvania (MA067651) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124806682
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAH WALLACECredential: PA-C
Location Address508 S CHURCH STMt Pleasant, PA 15666-1702
Mailing Address508 S Church StMt Pleasant, PA 15666-1702 · (724) 547-7092 · Fax (724) 547-7096
Phone(724) 547-7092
Fax(724) 547-7096
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1124806682 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 PA · MA067651
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.
508 S CHURCH ST, Mt Pleasant, PA 15666
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariah Wallace Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15666 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

KELLY M EMERSON CRNP
Nurse Practitioner (Family)
508 S CHURCH ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-1636
DR. THOMAS W PIFFERETTI M.D.
Emergency Medicine
508 S CHURCH ST
MT PLEASANT, PA 15666
Westmoreland County (724) 832-4626
DR. WILLIAM A JENKINS M.D.
Emergency Medicine
508 S CHURCH ST
MT PLEASANT, PA 15666
Westmoreland County (724) 832-4626
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Hospitalist
508 S CHURCH ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-1405
GATEWAY REHABILITATION CENTER
Substance Abuse Rehabilitation Facility
508 S CHURCH ST, SUITE 201
MT PLEASANT, PA 15666
Westmoreland County (412) 604-8900
RICHARD E. LYNN MD
Hospitalist
508 S CHURCH ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-1405
FRICK HOSPITAL
General Acute Care Hospital
508 S CHURCH ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-1500
FRICK HOSPITAL
Clinic/Center
508 S CHURCH ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-1500

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 Mariah Wallace's NPI number?

The NPI number for Mariah Wallace is 1124806682. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Mariah Wallace located?

Mariah Wallace practices at 508 S Church St, Mt Pleasant, PA 15666. The listed phone number is (724) 547-7092.

What is Mariah Wallace's specialty?

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

Is Mariah Wallace enrolled in Medicare?

Yes. Mariah Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariah Wallace was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.