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LAURA ANN WALLACE A.P.N
NPI 1265737753
Nurse Practitioner - Primary Care in Pilot Knob, MO

Active since January 14, 2011PECOS EnrolledAccepts Medicare Assignment
301 N HIGHWAY 21, PILOT KNOB, MO 63663(573) 546-8036(573) 546-8067 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Ann Wallace A.p.n NPPES

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

LAURA ANN WALLACE A.P.N (NPI 1265737753) is an individual primary care provider in Pilot Knob, Missouri, licensed in Missouri (2010037004) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Iron County Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1265737753
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLAURA ANN WALLACECredential: A.P.N
Location Address301 N HIGHWAY 21Pilot Knob, MO 63663-7862
Mailing Address301 N Highway 21Pilot Knob, MO 63663-7862 · (573) 546-8036 · Fax (573) 546-8067
Phone(573) 546-8036
Fax(573) 546-8067
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 14, 2011
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1265737753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MO · 2010037004
301 N HIGHWAY 21, Pilot Knob, MO 63663
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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 Ann Wallace A.p.n 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 ID7416134036
PECOS Enrollment IDI20260406001419
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.

Iron County Medical Center

Critical Access Hospitals · Pilot Knob, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261336
Location301 North Highway 21Pilot Knob, MO 63663 · Iron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63663 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IRON COUNTY HOSPITAL DISTRICT
Clinic/Center (Rural Health)
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-8051
IRON COUNTY HOSPITAL DISTRICT
General Acute Care Hospital (Critical Access)
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-1260
SHEPHERD MOUNTAIN EMERGENCY PHYSICIANS
Emergency Medicine
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-1260
JESSICA DAWN NICHOLS FNP
Nurse Practitioner (Family)
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-1260

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 1265737753. It was assigned to this individual provider in the NPPES registry on January 14, 2011.

Where is Laura Wallace located?

Laura Wallace practices at 301 N Highway 21, Pilot Knob, MO 63663. The listed phone number is (573) 546-8036.

What is Laura Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

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.

Is Laura Wallace affiliated with any hospitals?

According to CMS data, Laura Wallace is affiliated with Iron County Medical Center.

When was this NPI record last updated?

The NPPES record for Laura Wallace was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.