DR. ADAM DONALD WALLACE MD
NPI 1386969079
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Rochester, MN
About Dr. Adam Donald Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADAM DONALD WALLACE MD (NPI 1386969079) is an individual neurology with special qualifications in child neurology provider in Rochester, Minnesota, licensed in Wisconsin (67056-20) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 (PECOS)
Dr. Adam Donald Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55905 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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 Adam Wallace's NPI number?
The NPI number for Adam Wallace is 1386969079. It was assigned to this individual provider in the NPPES registry on April 6, 2010.
Where is Adam Wallace located?
Adam Wallace practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Adam Wallace's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Adam Wallace enrolled in Medicare?
Yes. Adam Wallace is registered in the Medicare PECOS enrollment system.
What insurance does Adam Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and HealthPartners and 2 other insurers list Adam 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 Adam Wallace was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Adam Donald Wallace, MD · NPI 1386969079
Neurology with Special Qualifications in Child Neurology physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since April 6, 2010.
## Identity
- **NPI:** 1386969079 (Entity type: Individual)
- **Enumerated:** April 6, 2010
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 67056-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 5, 2026
- **Other identifiers:** Medicaid 1386969079 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1386969079) · Data from the CMS NPPES public registry.