JUDITH WALLACE MAC, LAT
NPI 1205373107
Counselor - Professional in Sheridan, WY
About Judith Wallace Mac, Lat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDITH WALLACE MAC, LAT (NPI 1205373107) is an individual professional provider in Sheridan, Wyoming, licensed in Wyoming (2478) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Judith Wallace Mac, Lat 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.
Medicare Billing Reassignment
Medicare enrollment records show Judith Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheridan, WY 82801
- Reassigned Medicare billing, Wyoming enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SHERIDAN, WY 82801
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 Judith Wallace's NPI number?
The NPI number for Judith Wallace is 1205373107. It was assigned to this individual provider in the NPPES registry on January 30, 2017.
Where is Judith Wallace located?
Judith Wallace practices at 1221 W 5th St, Sheridan, WY 82801. The listed phone number is (307) 674-4405.
What is Judith Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Judith Wallace enrolled in Medicare?
Yes. Judith 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.
Which organization bills Medicare for Judith Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Wallace reassigns Medicare benefits to Volunteers Of America Northern Rockies (Sheridan, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Judith Wallace accept?
Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Judith 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 Judith Wallace was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Judith Wallace, MAC, LAT · NPI 1205373107
Professional provider in Sheridan, Wyoming. Individual provider, active in the CMS NPPES registry since January 30, 2017.
## Identity
- **NPI:** 1205373107 (Entity type: Individual)
- **Enumerated:** January 30, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2478 (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 W 5TH ST, Sheridan, WY 82801-2701
- **Phone:** (307) 674-4405
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Volunteers Of America Northern Rockies (NPI 1013292473, Sheridan, WY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205373107) · Data from the CMS NPPES public registry.