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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: August 09, 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
Phone(425) 640-7009
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

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.

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.

KYLIE MEDINA-LOFINK MSW, SWAIC
Social Worker (Clinical)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503
Thurston County (360) 539-4750
AMANDA MICHELLE MCDOWELL
Counselor (Mental Health)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503
Thurston County (360) 409-7558
ANA YANIRA LEWIS LMHCA
Counselor (Mental Health)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503
Thurston County (360) 217-9137
DUSTIN RILEY JOHNSON LSWAIC
Social Worker (Clinical)
673 WOODLAND SQUARE LOOP SE STE 320
LACEY, WA 98503
Thurston County (206) 572-7308

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.

What insurance does Sharon Wallace accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 4 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.