MCKENZIE WALLACE STUDENT
NPI 1194429597
Dentist - General Practice in Saint Paul, MN
About Mckenzie Wallace Student NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE WALLACE STUDENT (NPI 1194429597) is an individual general practice provider in Saint Paul, Minnesota, licensed in Minnesota (D14879) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mckenzie Wallace Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55102 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.
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 Mckenzie Wallace's NPI number?
The NPI number for Mckenzie Wallace is 1194429597. It was assigned to this individual provider in the NPPES registry on March 29, 2023.
Where is Mckenzie Wallace located?
Mckenzie Wallace practices at 1026 7th St W, Saint Paul, MN 55102. The listed phone number is (651) 758-9500.
What is Mckenzie Wallace's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mckenzie Wallace enrolled in Medicare?
Yes. Mckenzie Wallace is registered in the Medicare PECOS enrollment system.
What insurance does Mckenzie Wallace accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Mckenzie 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.
When was this NPI record last updated?
The NPPES record for Mckenzie Wallace was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
