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MEGHAN WALLACE DO
NPI 1477298776
General Practice in Aurora, CO

Active since May 02, 2022PECOS Enrolled
12631 E 17TH AVE STE F496, AURORA, CO 80045(720) 553-2696 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 7, 2025, May 2, 2022 (2 updates tracked since 2022).

About Meghan Wallace Do NPPES

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

MEGHAN WALLACE DO (NPI 1477298776) is an individual general practice provider in Aurora, Colorado, licensed in Colorado (DR.0075789) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477298776
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMEGHAN WALLACECredential: DO
Location Address12631 E 17TH AVE STE F496Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Ste F496Aurora, CO 80045-2527
Phone(720) 553-2696
Sole ProprietorNo
Enumeration DateMay 2, 2022
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1477298776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CO · DR.0075789
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12631 E 17TH AVE STE F496, Aurora, CO 80045
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meghan Wallace Do 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.

Other Providers at the Same Location NPPES 3

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

CALLIE BARTKOWIAK
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE F496
AURORA, CO 80045
Adams County (303) 724-9700
MILLER J BALLEY
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE F496
AURORA, CO 80045
Adams County (720) 553-2696
JENNA MICHAL KANNER
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE F496
AURORA, CO 80045
Adams County (303) 724-9700

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 Meghan Wallace's NPI number?

The NPI number for Meghan Wallace is 1477298776. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Meghan Wallace located?

Meghan Wallace practices at 12631 E 17th Ave Ste F496, Aurora, CO 80045. The listed phone number is (720) 553-2696.

What is Meghan Wallace's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Meghan Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Meghan Wallace was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.