SHARON D WALLACE
NPI 1205478591
Nurse Practitioner - Psychiatric/Mental Health in Lacey, WA

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
673 WOODLAND SQUARE LOOP SE STE 320, LACEY, WA 98503(425) 640-7009 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2026, Oct 8, 2019 (2 updates tracked since 2019).

About Sharon D Wallace NPPES

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

SHARON D WALLACE (NPI 1205478591) is an individual psychiatric/mental health provider in Lacey, Washington, licensed in Washington (AP61462632) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205478591
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHARON D WALLACE
Location Address673 WOODLAND SQUARE LOOP SE STE 320Lacey, WA 98503-1066
Mailing Address673 Woodland Square Loop Se Ste 320Lacey, WA 98503-1066
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 8, 2019
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1205478591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61462632
673 WOODLAND SQUARE LOOP SE STE 320, Lacey, WA 98503

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

Sharon D 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 ID345680450
PECOS Enrollment IDI20240506001839
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sharon Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Community Based Residential Treatment Facility, Mental Illness
9330 59TH AVE SW
Lakewood, WA 98499
  • Reassigned Medicare billing, Washington enrollment
  • 67 clinicians in this Medicare group
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503
Counselor (Mental Health)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503
Counselor (Mental Health)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503
Social Worker (Clinical)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503

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 Sharon Wallace's NPI number?

The NPI number for Sharon Wallace is 1205478591. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Sharon Wallace located?

Sharon Wallace practices at 673 Woodland Square Loop SE Ste 320, Lacey, WA 98503. The listed phone number is (425) 640-7009.

What is Sharon Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sharon Wallace enrolled in Medicare?

Yes. Sharon 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 organizations bill Medicare for Sharon Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Wallace reassigns Medicare benefits to 3 organizations: Multicare Health System (Olympia, WA), Greater Lakes Mental Health Foundation Inc (Lakewood, WA) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each 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 Sharon Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Wallace accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Sharon 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.

Is Sharon Wallace affiliated with any hospitals?

According to CMS data, Sharon Wallace is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Wallace was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.