AMY BLAISING WALLACE D.O.
NPI 1356380950
Family Medicine in Eaton Rapids, MI

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
1415 S MAIN ST, EATON RAPIDS, MI 48827(517) 663-4809 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Blaising Wallace D.o. NPPES

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

AMY BLAISING WALLACE D.O. (NPI 1356380950) is an individual family medicine provider in Eaton Rapids, Michigan, licensed in Michigan (5101013086) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains a secondary practice location in Perry.

NPPES Registry Identity

NPI1356380950
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMY BLAISING WALLACECredential: D.O.
Location Address1415 S MAIN STEaton Rapids, MI 48827-1959
Mailing Address3337 Britton RdPerry, MI 48872-9706 · (517) 625-3004 · Fax (517) 625-5001
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1996
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 17, 2018
NPI 1356380950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101013086
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1415 S MAIN ST, Eaton Rapids, MI 48827

Secondary Practice Location 1

Location 13337 Britton RdPerry, MI 48872-9706 · Phone (517) 625-3004 · Fax (517) 625-5001

Other Identifiers 2

Medicaid4628183TYPE11MI
Medicaid1356380950MI

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

Amy Blaising Wallace D.o. 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 ID6507837903
PECOS Enrollment IDI20040802000053
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 2

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48827 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

Clinic/Center
1415 S MAIN ST, STE B
EATON RAPIDS, MI 48827

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 Amy Wallace's NPI number?

The NPI number for Amy Wallace is 1356380950. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Amy Wallace located?

Amy Wallace practices at 1415 S Main St, Eaton Rapids, MI 48827. The listed phone number is (517) 663-4809.

What is Amy Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amy Wallace enrolled in Medicare?

Yes. Amy 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 Amy Wallace accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Amy 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 Amy Wallace affiliated with any hospitals?

According to CMS data, Amy Wallace is affiliated with Edward W Sparrow Hospital and Sparrow Eaton Hospital.

When was this NPI record last updated?

The NPPES record for Amy Wallace was last updated on December 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.