LISA MARIE WALLACE NP
NPI 1134438286
Nurse Practitioner - Adult Health in Muncie, IN

Q: What is Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1134438286. It was assigned to this individual provider in the NPPES registry on October 6, 2010. The provider is also known as Lisa M Richwine.

Q: What is Lisa Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wallace was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 06, 2010PECOS EnrolledAccepts Medicare Assignment

83.71/100

CMS Quality Rating

2401 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 281-2030 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Oct 20, 2021, Oct 19, 2020 and 1 more (4 updates tracked since 2015).

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About Lisa Marie Wallace Np NPPES

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

LISA MARIE WALLACE NP (NPI 1134438286) is an individual adult health provider in Muncie, Indiana, licensed in Indiana (71003281A) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134438286

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLISA MARIE WALLACECredential: NP

Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 281-2030

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 6, 2010

Last NPPES UpdateOctober 16, 20254 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1134438286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IN · 71003281A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71003281A (IN)

Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License 71003281A (IN)

2401 W UNIVERSITY AVE, Muncie, IN 47303

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Other Names 1

Former Name (1)Lisa M Richwine

Secondary Practice Locations 2

Location 1831 N Theatre DriveMarion, IN 46952-1701 · Phone (765) 660-7800 · Fax (765) 662-4470

Location 22525 W University Ave Ste 300Muncie, IN 47303-3432 · Phone (765) 289-5420 · Fax (765) 281-2065

Other Identifiers 2

Medicaid201000070IN

Other00000932255IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Lisa Marie Wallace Np 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.

PECOS PAC ID5395931026

PECOS Enrollment IDI20101120000079

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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

184 services161 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

139 services128 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

128 services125 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

98 services98 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN

OwnershipGovernment - Local

CMS Certification Number151320

Location500 W Votaw StPortland, IN 47371 · Jay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.94

Promoting Interoperability

Improvement Activities

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.

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