MADELINE G WALLACE RD
NPI 1366264970
Dietitian, Registered in Little Rock, AR

Q: What is Madeline Wallace's NPI number?

The NPI number for Madeline Wallace is 1366264970. It was assigned to this individual provider in the NPPES registry on October 26, 2024.

Q: What is Madeline Wallace's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Wallace was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 26, 2024Accepts Medicare Assignment

4301 W MARKHAM ST # 574, LITTLE ROCK, AR 72205(501) 526-6477(501) 526-7977 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Madeline G Wallace Rd NPPES

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

MADELINE G WALLACE RD (NPI 1366264970) is an individual dietitian, registered in Little Rock, Arkansas, licensed in Arkansas (2189) and active in the NPI registry since October 2024. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1366264970

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMADELINE G WALLACECredential: RD

Location Address4301 W MARKHAM ST # 574Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 526-6477

Fax(501) 526-7977

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 26, 2024

Last NPPES UpdateDecember 13, 2024

NPPES CertifiedDecember 13, 2024

✔ NPI 1366264970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AR · 2189

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4301 W MARKHAM ST # 574, Little Rock, AR 72205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Madeline G Wallace Rd 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 ID4183151863

PECOS Enrollment IDI20241218004031

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$0.00 typical visit price

range $51.36 – $157.74

Typical copayment $0.00 (range $12.84 – $39.43)

Most-billed visit code NA

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 4

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

MRS. MEGAN LOUISE MCGINTY TEMPLE R.D, L.D.

Dietitian, Registered

4301 W MARKHAM ST # 574
LITTLE ROCK, AR 72205

Pulaski County (501) 686-5788

MRS. LAURA B THROCKMORTON MS, RD, LD

Dietitian, Registered

4301 W MARKHAM ST # 574
LITTLE ROCK, AR 72205

Pulaski County (501) 686-5788

MRS. MEGAN ELIZABETH BILON M.S., R.D., L.D.

Dietitian, Registered

4301 W MARKHAM ST # 574
LITTLE ROCK, AR 72205

Pulaski County (501) 686-5788

MS. LAURA SANDERS MS,RD, LD

Dietitian, Registered

4301 W MARKHAM ST # 574
LITTLE ROCK, AR 72205

Pulaski County (501) 526-6990

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 Madeline Wallace's NPI number?

The NPI number for Madeline Wallace is 1366264970. It was assigned to this individual provider in the NPPES registry on October 26, 2024.

Where is Madeline Wallace located?

Madeline Wallace practices at 4301 W Markham St # 574, Little Rock, AR 72205. The listed phone number is (501) 526-6477.

What is Madeline Wallace's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Madeline Wallace enrolled in Medicare?

Yes. Madeline 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 Madeline Wallace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Madeline 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 Madeline Wallace was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.