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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LILLIAN WALLACE PA
NPI 1487497970
Physician Assistant in Austin, TX

Active since June 13, 2024PECOS Enrolled
1601 TRINITY ST STE 704-D, AUSTIN, TX 78712(512) 324-7000 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lillian Wallace Pa NPPES

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

LILLIAN WALLACE PA (NPI 1487497970) is an individual physician assistant in Austin, Texas and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487497970
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILLIAN WALLACECredential: PA
Location Address1601 TRINITY ST STE 704-DAustin, TX 78712-1765
Mailing Address1601 Trinity St Ste 704-dAustin, TX 78712-1765
Phone(512) 324-7000
Sole ProprietorNo
Enumeration DateJune 13, 2024
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1487497970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1601 TRINITY ST STE 704-D, Austin, TX 78712
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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)

Lillian Wallace Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
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 3

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

THUY T SOLIS PA
Physician Assistant
1601 TRINITY ST STE 704-D
AUSTIN, TX 78712
Travis County (512) 324-9999
NICHOLAS ROBERT O'SICK DO
Surgery (Plastic and Reconstructive Surgery)
1601 TRINITY ST STE 704-D
AUSTIN, TX 78712
Travis County (512) 324-8320
SIARRA SHAW PA-C
Physician Assistant (Surgical)
1601 TRINITY ST STE 704-D
AUSTIN, TX 78712
Travis County (512) 324-8320

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 Lillian Wallace's NPI number?

The NPI number for Lillian Wallace is 1487497970. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Lillian Wallace located?

Lillian Wallace practices at 1601 Trinity St Ste 704-D, Austin, TX 78712. The listed phone number is (512) 324-7000.

What is Lillian Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lillian Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lillian Wallace was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.