LAURY M WALLACE NP
NPI 1205343845
Family Medicine - Adult Medicine in Westfield, IN

Q: What is Laury Wallace's NPI number?

The NPI number for Laury Wallace is 1205343845. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Q: What is Laury Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Laury Wallace was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 January 04, 2018PECOS Enrolled

16731 GAITHER BLVD, WESTFIELD, IN 46074(317) 561-6840(812) 239-3771 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Laury M Wallace Np NPPES

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

LAURY M WALLACE NP (NPI 1205343845) is an individual adult medicine provider in Westfield, Indiana, licensed in Indiana (71007724A) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205343845

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameLAURY M WALLACECredential: NP

Location Address16731 GAITHER BLVDWestfield, IN 46074-4607

Mailing Address16731 Gaither BlvdWestfield, IN 46074-4421 · (812) 239-3771

Phone(317) 561-6840

Fax(812) 239-3771

Sole ProprietorYes

Enumeration DateJanuary 4, 2018

✔ NPI 1205343845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in IN · 71007724A

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 71007724A (IN)

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 71007724A (IN)

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 71007724A (IN)

16731 GAITHER BLVD, Westfield, IN 46074

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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)

Laury M Wallace Np 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 46074 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.

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 Laury Wallace's NPI number?

The NPI number for Laury Wallace is 1205343845. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Where is Laury Wallace located?

Laury Wallace practices at 16731 Gaither Blvd, Westfield, IN 46074. The listed phone number is (317) 561-6840.

What is Laury Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Laury Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Laury Wallace was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.