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DR. RYAN MYLES WALLACE
NPI 1548695075
Psychiatry & Neurology - Psychiatry in Anchorage, AK

Active since September 03, 2013PECOS EnrolledAccepts Medicare Assignment
3760 PIPER ST STE 1108, ANCHORAGE, AK 99508(907) 212-6900(907) 212-6936 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Mar 4, 2021, Jul 9, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Ryan Myles Wallace NPPES

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

DR. RYAN MYLES WALLACE (NPI 1548695075) is an individual psychiatry provider in Anchorage, Alaska, licensed in Alaska (158491) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Washington School Of Medicine (2014).

NPPES Registry Identity

NPI1548695075
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RYAN MYLES WALLACE
Location Address3760 PIPER ST STE 1108Anchorage, AK 99508-4683
Mailing AddressPo Box 31001-4162Pasadena, CA 91110-4162 · (866) 747-2455
Phone(907) 212-6900
Fax(907) 212-6936
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2014
Enumeration DateSeptember 3, 2013
Last NPPES UpdateDecember 3, 20255 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1548695075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in AK · 158491✔ Licensed in CT · 55490
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 158491 (AK)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 55490 (CT)
3760 PIPER ST STE 1108, Anchorage, AK 99508
Open in Google Maps ↗

Secondary Practice Locations 3

Location 155 Lock StNew Haven, CT 06511 · Phone (203) 432-0290
Location 2365 Montauk AveNew London, CT 06320-4700 · Phone (860) 442-0711
Location 31201 E 36th AveAnchorage, AK 99508-4372 · Phone (907) 562-9229 · Fax (907) 562-1603

Other Identifiers 6

Medicaid1709157AK
Medicaid008056168CT
Medicaid500000315CT
Medicaid008076123CT
Medicaid004082286CT
Medicaid008022626CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Dr. Ryan Myles Wallace 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.

PECOS PAC ID2769703552
PECOS Enrollment IDI20200917000602
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

3

Medicare enrollment records show Ryan Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Washington
Same address
Psychiatry
3760 PIPER ST, SUITE 1108
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 72 clinicians in this Medicare group
NPI 1538254347 (907) 212-6900
Providence Health & Services- Washington
0.3 mi
Critical Care Medicine
3200 PROVIDENCE DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 228 clinicians in this Medicare group
NPI 1093956278 (907) 212-6002
Providence Health & Services Washington
0.3 mi
General Acute Care Hospital
3200 PROVIDENCE DRIVE
Anchorage, AK 99506
  • Reassigned Medicare billing, Alaska enrollment
  • 67 clinicians in this Medicare group
NPI 1467547265 (907) 212-6522

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 99508 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
$222.64 typical visit price
range $71.33 – $222.64
Typical copayment $55.66 (range $17.83 – $55.66)
Most-billed visit code 99205
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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 20

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

JASMINE PORTER MS, CDC I, MAC, LPC
Counselor (Professional)
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900
MRS. NEILEE WYANN SMITH LPC
Counselor (Professional)
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900
ZOEY SHUHAM-HARDY DNP-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900
DR. LISA KATHARYN LINDQUIST M.D.
Psychiatry & Neurology (Psychiatry)
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900
PHYLLIS ROSE MS, LPC, CDCL
Counselor (Professional)
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6973
CARINA COLEMAN MS
Counselor (Mental Health)
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6970
PROVIDENCE HEALTH & SERVICES WASHINGTON
Community/Behavioral Health
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900
DR. ERICA COADY PH.D.
Clinical Neuropsychologist
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900

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 Ryan Wallace's NPI number?

The NPI number for Ryan Wallace is 1548695075. It was assigned to this individual provider in the NPPES registry on September 3, 2013.

Where is Ryan Wallace located?

Ryan Wallace practices at 3760 Piper St Ste 1108, Anchorage, AK 99508. The listed phone number is (907) 212-6900.

What is Ryan Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ryan Wallace enrolled in Medicare?

Yes. Ryan 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 organizations bill Medicare for Ryan Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Wallace reassigns Medicare benefits to 3 organizations: Providence Health & Services - Washington (Anchorage, AK), Providence Health & Services- Washington (Anchorage, AK) and Providence Health & Services Washington (Anchorage, AK). 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 Ryan Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Wallace accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Ryan 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 Ryan Wallace was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.