AMY ANN WALLACE OTR-L
NPI 1467517466
Occupational Therapist in South Lake Tahoe, CA
About Amy Ann Wallace Otr-l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY ANN WALLACE OTR-L (NPI 1467517466) is an individual occupational therapist in South Lake Tahoe, California, licensed in Nevada (0721) and active in the NPI registry since December 2006. She maintains 6 additional practice locations and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Ann Wallace Otr-l 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.
Medicare Billing Reassignment
Medicare enrollment records show Amy Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, Nevada enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1467517466. It was assigned to this individual provider in the NPPES registry on December 27, 2006.
Where is Amy Wallace located?
Amy Wallace practices at 10539 Professional Cir Suite 201, South Lake Tahoe, CA 96150. The listed phone number is (775) 348-8800.
What is Amy Wallace's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
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.
Which organization bills Medicare for Amy Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wallace reassigns Medicare benefits to Barton Medical Foundation (South Lake Tahoe, CA). The 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 Amy Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Wallace accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete 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.
When was this NPI record last updated?
The NPPES record for Amy Wallace was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.