RYAN JEFFREY WALLACE PA-C
NPI 1285528422
Physician Assistant - Surgical in Erie, PA
About Ryan Jeffrey Wallace Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN JEFFREY WALLACE PA-C (NPI 1285528422) is an individual surgical provider in Erie, Pennsylvania, licensed in Pennsylvania (1226276) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Millcreek Community Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ryan Jeffrey Wallace Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Millcreek Community Hospital
Acute Care Hospitals · Erie, PAOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ryan Wallace's NPI number?
The NPI number for Ryan Wallace is 1285528422. It was assigned to this individual provider in the NPPES registry on June 4, 2025.
Where is Ryan Wallace located?
Ryan Wallace practices at 5401 Peach St Ste 3300, Erie, PA 16509. The listed phone number is (814) 868-7840.
What is Ryan Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Ryan Wallace enrolled in Medicare?
Yes. Ryan 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 Ryan Wallace accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ryan 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 Ryan Wallace affiliated with any hospitals?
According to CMS data, Ryan Wallace is affiliated with Millcreek Community Hospital.
When was this NPI record last updated?
The NPPES record for Ryan Wallace was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ryan Jeffrey Wallace, PA-C · NPI 1285528422
Surgical physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 4, 2025.
## Identity
- **NPI:** 1285528422 (Entity type: Individual)
- **Enumerated:** June 4, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 1226276 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5401 PEACH ST STE 3300, Erie, PA 16509-2601
- **Phone:** (814) 868-7840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285528422) · Data from the CMS NPPES public registry.