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MOLLY WALLACE
NPI 1174488423
Physician Assistant in Columbus, OH

Active since December 18, 2025PECOS EnrolledAccepts Medicare Assignment
3525 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-1997 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Molly Wallace NPPES

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

MOLLY WALLACE (NPI 1174488423) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.010011RX) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174488423
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMOLLY WALLACE
Location Address3525 OLENTANGY RIVER RDColumbus, OH 43214-3937
Mailing Address1482 Aschinger BlvdColumbus, OH 43212-2690
Phone(614) 566-1997
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 18, 2025
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1174488423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.010011RX
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3525 OLENTANGY RIVER RD, Columbus, OH 43214
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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 and accepts Medicare assignment

Molly Wallace 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 ID1153804810
PECOS Enrollment IDI20260311000257
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 43214 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 20

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

DANNI SCHNEIDER D.O.
Emergency Medicine
3525 OLENTANGY RIVER RD, ST 5320
COLUMBUS, OH 43214
Franklin County (614) 566-1997
ALICIA RENEE SIMPSON
Physician Assistant
3525 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-1997
JASON E SEAVOLT MD
Radiology (Radiation Oncology)
3525 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5000
DUC DUY TRAN M.D.
Radiology (Neuroradiology)
3525 OLENTANGY RIVER RD, SUITE 5360
COLUMBUS, OH 43214
Franklin County (614) 340-7747
DAVID ZADVINSKIS MD
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Franklin County (614) 340-7747
JOHN LEACH M.D.
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Franklin County (614) 340-7747
KIMBERLY POTTER
Nurse Practitioner (Family)
3525 OLENTANGY RIVER RD, STE,4330
COLUMBUS, OH 43214
Franklin County (614) 255-6900
DR. NIRAV A VORA M.D.
Psychiatry & Neurology (Neurology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Franklin County (614) 340-7747

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 Molly Wallace's NPI number?

The NPI number for Molly Wallace is 1174488423. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Molly Wallace located?

Molly Wallace practices at 3525 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-1997.

What is Molly Wallace's specialty?

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

Is Molly Wallace enrolled in Medicare?

Yes. Molly 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.

When was this NPI record last updated?

The NPPES record for Molly Wallace was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.