LAURA WALLACE CNP, DNP-FNP
NPI 1215702683
Nurse Practitioner - Family in Rogers, MN

Q: What is Laura Wallace's NPI number?

The NPI number for Laura Wallace is 1215702683. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Q: What is Laura Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Wallace was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 16, 2023PECOS EnrolledAccepts Medicare Assignment

14040 NORTHDALE BLVD, ROGERS, MN 55374(763) 488-4100 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Laura Wallace Cnp, Dnp-fnp NPPES

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

LAURA WALLACE CNP, DNP-FNP (NPI 1215702683) is an individual family provider in Rogers, Minnesota, licensed in Minnesota (10747) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Fairview Northland Regional Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215702683

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAURA WALLACECredential: CNP, DNP-FNP

Location Address14040 NORTHDALE BLVDRogers, MN 55374-9612

Mailing Address13060 42nd Ave SwPillager, MN 56473-2495 · (763) 291-5193

Phone(763) 488-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1215702683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 10747

14040 NORTHDALE BLVD, Rogers, MN 55374

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Laura Wallace Cnp, Dnp-fnp 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 ID6406292630

PECOS Enrollment IDI20240311002635

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services59 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

31 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services29 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

24 services24 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number240141

Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55374 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 6

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

SARULATHA M KUPPA MD

Family Medicine

14040 NORTHDALE BLVD
ROGERS, MN 55374

Hennepin County (763) 488-4100

FAIRVIEW CLINICS

Clinic/Center (Primary Care)

14040 NORTHDALE BLVD, STE 10
ROGERS, MN 55374

Hennepin County (763) 488-4100

DONALD JOE FAHEY-AHRNDT M.D.

Family Medicine

14040 NORTHDALE BLVD
ROGERS, MN 55374

Hennepin County (763) 488-4100

SARA FRANKWICK MD

Family Medicine

14040 NORTHDALE BLVD, SUITE 100
ROGERS, MN 55374

Hennepin County (763) 488-4100

ELIZABETH A SCHMIDT P.A.-C

Physician Assistant (Medical)

14040 NORTHDALE BLVD
ROGERS, MN 55374

Hennepin County (763) 488-4100

MRS. DIANE MENZIES ALDERMAN NP

Nurse Practitioner (Family)

14040 NORTHDALE BLVD
ROGERS, MN 55374

Hennepin County (763) 488-4100

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 Laura Wallace's NPI number?

The NPI number for Laura Wallace is 1215702683. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Where is Laura Wallace located?

Laura Wallace practices at 14040 Northdale Blvd, Rogers, MN 55374. The listed phone number is (763) 488-4100.

What is Laura Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laura Wallace enrolled in Medicare?

Yes. Laura 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 Laura Wallace accept?

Health plans from Medica list Laura 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 Laura Wallace affiliated with any hospitals?

According to CMS data, Laura Wallace is affiliated with Fairview Northland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Laura Wallace was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.