MS. JENNIFER WALLACE
NPI 1356968440
Technician, Pathology - Phlebotomy in Everett, WA

NPI Status: Active since July 06, 2020

Contact Information

3409 MCDOUGALL AVE STE 200
EVERETT, WA
ZIP 98201
Phone: (480) 685-7530
Fax: (480) 900-8853

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 11
  • Technician, Pathology
  • Phlebotomy
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER WALLACE

This page provides the complete NPI Profile along with additional information for Jennifer Wallace, a provider established in Everett, Washington with a medical specialization in Technician, Pathology, focusing in phlebotomy and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1356968440 assigned on July 2020. The practitioner's primary taxonomy code is 246RP1900X. The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1356968440
Provider Name
MS. JENNIFER WALLACE
Gender
Female
Entity Type
Individual
Location Address
3409 MCDOUGALL AVE STE 200 EVERETT, WA 98201
Location Phone
(480) 685-7530
Location Fax
(480) 900-8853
Mailing Address
3409 MCDOUGALL AVE STE 200 EVERETT, WA 98201
Mailing Phone
(480) 685-7530
Mailing Fax
(480) 900-8853
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
07-06-2020
Last Update Date
04-14-2026
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician, Pathology Phlebotomy

Taxonomy Code
246RP1900X
Type
Technologists, Technicians & Other Technical Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1156F00000XEye and Vision Services Providers

Technician/Technologist

 
2172A00000XOther Service Providers

Driver

WDL722Z7B13B (WA)
3246RP1900XTechnologists, Technicians & Other Technical Service Providers

Technician, Pathology
Phlebotomy

PC61547365 (WA)
4247200000XTechnologists, Technicians & Other Technical Service Providers

Technician, Other

032016 (AZ)
5251E00000XAgencies

Home Health

 
6251J00000XAgencies

Nursing Care

03D2197602 (AZ)
7261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
8261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
9291U00000XLaboratories

Clinical Medical Laboratory

1568068609 (AZ)
10291U00000XLaboratories

Clinical Medical Laboratory

03D2197602 (AZ)
11374U00000XNursing Service Related Providers

Home Health Aide

EXPERIENCED (AZ)
12374U00000XNursing Service Related Providers

Home Health Aide

(AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50D2322596OTHER (01)WACLIA
PC61547365OTHER (01)WAPHLEBOTOMY LICENSE
MTSW.FS.61686172OTHER (01)WAMEDICAL TEST SITE CLIA

Medicare Participation & PECOS Enrollment Status

Jennifer Wallace is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jennifer Wallace is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8224426929

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251120001268

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. JENNIFER WALLACE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356968440, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 8 + 6 + 1 + 6 + 4 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1356968440.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356968440, enumerated as an "individual" on July 06, 2020.

The provider is located at 3409 MCDOUGALL AVE STE 200 EVERETT, WA 98201 and the phone number is (480) 685-7530.

Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.