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KATHLEEN WALLACE APN
NPI 1225035504
Nurse Practitioner in Merrillville, IN

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
90 W 86TH AVE, MERRILLVILLE, IN 46410(219) 791-1555(219) 791-1560 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2022, Nov 13, 2020 (2 updates tracked since 2020).

About Kathleen Wallace Apn NPPES

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

KATHLEEN WALLACE APN (NPI 1225035504) is an individual nurse practitioner in Merrillville, Indiana, licensed in Indiana (71000826A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1225035504
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN WALLACECredential: APN
Location Address90 W 86TH AVEMerrillville, IN 46410-7086
Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000 · Fax (630) 491-5472
Phone(219) 791-1555
Fax(219) 791-1560
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 1, 2005
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1225035504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71000826A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
90 W 86TH AVE, Merrillville, IN 46410
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Other Identifiers 4

Other000000331131IN · Anthem Bcbs Number
Medicaid100082060IN
Medicaid200280140BIN
Other500012853IN · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Kathleen Wallace Apn 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 ID5294989000
PECOS Enrollment IDI20130201000460
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

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.
224 services151 patients

Hospital Affiliations CMS Care Compare 5

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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.

Other Providers at the Same Location NPPES 14

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

KATRINA E WRIGHT MD
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
CINDY CHAPMAN NURSE PRACTITIONER
Nurse Practitioner (Family)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
ALI KHEIRBEK MD
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
DR. KEVIN ANDRE MYRIE M.D,
Internal Medicine (Nephrology)
90 W 86TH AVE, NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
YVES FRANTZ BRIGNOL MBA/HA, CMC
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
DAVID CURTIS PARRISH
Nurse Practitioner (Family)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
KENNETH LEE CHOI MD
Internal Medicine (Nephrology)
90 W 86TH AVE, NANI, LTD
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
THOMAS CARL GOLUBSKI MD
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555

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 Kathleen Wallace's NPI number?

The NPI number for Kathleen Wallace is 1225035504. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Kathleen Wallace located?

Kathleen Wallace practices at 90 W 86th Ave, Merrillville, IN 46410. The listed phone number is (219) 791-1555.

What is Kathleen Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathleen Wallace enrolled in Medicare?

Yes. Kathleen 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 Kathleen Wallace accept?

Health plans from CareSource and UnitedHealthcare list Kathleen 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 Kathleen Wallace affiliated with any hospitals?

According to CMS data, Kathleen Wallace is affiliated with St Catherine Hospital Inc, St Mary Medical Center Inc, Community Hospital, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Kathleen Wallace was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.