STEPHANIE ELLEN WALLACE MD
NPI 1295840676
Pediatrics in Tacoma, WA
About Stephanie Ellen Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE ELLEN WALLACE MD (NPI 1295840676) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (MD00044481) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Ellen Wallace Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Stephanie Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98405
TACOMA, WA 98405
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 Stephanie Wallace's NPI number?
The NPI number for Stephanie Wallace is 1295840676. It was assigned to this individual provider in the NPPES registry on August 19, 2006. The provider is also known as Stephanie Ellen Lambert.
Where is Stephanie Wallace located?
Stephanie Wallace practices at 315 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 403-1000.
What is Stephanie Wallace's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Stephanie Wallace enrolled in Medicare?
Yes. Stephanie 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.
Which organizations bill Medicare for Stephanie Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Wallace reassigns Medicare benefits to 3 organizations: Multicare Health System (Tacoma, WA), The Association Of University Physicians (Seattle, WA) and Association Of Chmc And University Physicians (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Wallace accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stephanie 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.
When was this NPI record last updated?
The NPPES record for Stephanie Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Stephanie Ellen Wallace, MD · NPI 1295840676
Pediatrics physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1295840676 (Entity type: Individual)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD00044481 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405-4234
- **Phone:** (253) 403-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Multicare Health System (NPI 1033202346, Tacoma, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA); Association Of Chmc And University Physicians (NPI 1215153671, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1295840676) · Data from the CMS NPPES public registry.