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ERIN ELIZABETH WALLACE M.D.
NPI 1396952263
Pediatrics in Mansfield, TX

Active since May 17, 2007PECOS Enrolled
252 MATLOCK RD STE 330, MANSFIELD, TX 76063(817) 557-5437(817) 539-0476 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2019, Jun 16, 2016 (2 updates tracked since 2016).

About Erin Elizabeth Wallace M.d. NPPES

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

ERIN ELIZABETH WALLACE M.D. (NPI 1396952263) is an individual pediatrics provider in Mansfield, Texas, licensed in Texas (M9077) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396952263
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameERIN ELIZABETH WALLACECredential: M.D.
Location Address252 MATLOCK RD STE 330Mansfield, TX 76063-4294
Mailing Address252 Matlock Rd Ste 330Mansfield, TX 76063-4294 · (817) 557-5437 · Fax (817) 539-0476
Phone(817) 557-5437
Fax(817) 539-0476
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateNovember 4, 20192 updates tracked since enumeration
✔ NPI 1396952263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · M9077
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
252 MATLOCK RD STE 330, Mansfield, TX 76063
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Other Identifiers 4

Medicaid197051902TX
Medicaid195476005TX
Medicaid197051904TX
Medicaid084933301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Elizabeth Wallace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Erin Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Clinic Of North Texas, PLLC
8.3 mi
Internal Medicine
4401 PARK SPRINGS BLVD STE 100
Arlington, TX 76017
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
NPI 1033167234 (817) 807-9060
Dallas Physician Medical Services For Children Inc
22 mi
Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group
NPI 1194153650 (214) 456-7000

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 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

DR. MEYLING JENNIFER OEI DO
Pediatrics
252 MATLOCK RD STE 330
MANSFIELD, TX 76063
Tarrant County (817) 557-5437

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 Erin Wallace's NPI number?

The NPI number for Erin Wallace is 1396952263. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Erin Wallace located?

Erin Wallace practices at 252 Matlock Rd Ste 330, Mansfield, TX 76063. The listed phone number is (817) 557-5437.

What is Erin Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erin Wallace enrolled in Medicare?

Yes. Erin Wallace is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erin Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Wallace reassigns Medicare benefits to 2 organizations: Medical Clinic Of North Texas, PLLC (Arlington, TX) and Dallas Physician Medical Services For Children Inc (Dallas, TX). 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 Erin Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Wallace accept?

Health plans from Baylor Scott and White Health Plan, UnitedHealthcare and WellPoint list Erin 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 Erin Wallace was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.