MRS. KIMBERLY VERONICA WALLACE CNM APRN
NPI 1144881640
Advanced Practice Midwife in Massillon, OH

Q: What is Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1144881640. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Kimberly Wallace's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wallace was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 25, 2019PECOS Enrolled

100 LILLIAN GISH BLVD SW STE 201, MASSILLON, OH 44647(330) 809-0460 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2022, Aug 6, 2020 (2 updates tracked since 2020).

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About Mrs. Kimberly Veronica Wallace Cnm Aprn NPPES

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

MRS. KIMBERLY VERONICA WALLACE CNM APRN (NPI 1144881640) is an individual advanced practice midwife in Massillon, Ohio, licensed in Ohio (APRN.CNM.019392) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144881640

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. KIMBERLY VERONICA WALLACECredential: CNM APRN

Location Address100 LILLIAN GISH BLVD SW STE 201Massillon, OH 44647-6500

Mailing Address3574 Melrose DrWooster, OH 44691-1857 · (614) 370-1035

Phone(330) 809-0460

Sole ProprietorNo

Enumeration DateJune 25, 2019

Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2022

✔ NPI 1144881640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in OH · APRN.CNM.019392

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

100 LILLIAN GISH BLVD SW STE 201, Massillon, OH 44647

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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)

Mrs. Kimberly Veronica Wallace Cnm Aprn 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 44647 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR LAYNE KETTERING APRN

Nurse Practitioner (Family)

100 LILLIAN GISH BLVD SW STE 201
MASSILLON, OH 44647

Stark County (330) 809-0460

MRS. NINA MARIE WILSON CNM

Advanced Practice Midwife

100 LILLIAN GISH BLVD SW STE 201
MASSILLON, OH 44647

Stark County (330) 809-0460

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 Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1144881640. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Kimberly Wallace located?

Kimberly Wallace practices at 100 Lillian Gish Blvd SW Ste 201, Massillon, OH 44647. The listed phone number is (330) 809-0460.

What is Kimberly Wallace's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kimberly Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Wallace was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.