MADELINE WALLACE PA-C
NPI 1649854456
Physician Assistant in Evans, CO
About Madeline Wallace Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADELINE WALLACE PA-C (NPI 1649854456) is an individual physician assistant in Evans, Colorado, licensed in Colorado (6761) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madeline Wallace Pa-c 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EVANS, CO 80620
EVANS, CO 80620
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 Madeline Wallace's NPI number?
The NPI number for Madeline Wallace is 1649854456. It was assigned to this individual provider in the NPPES registry on May 7, 2021.
Where is Madeline Wallace located?
Madeline Wallace practices at 2930 11th Ave, Evans, CO 80620. The listed phone number is (970) 353-9403.
What is Madeline Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Madeline Wallace enrolled in Medicare?
Yes. Madeline 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.
When was this NPI record last updated?
The NPPES record for Madeline Wallace was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Madeline Wallace, PA-C · NPI 1649854456
Physician Assistant physician in Evans, Colorado. Individual provider, active in the CMS NPPES registry since May 7, 2021.
## Identity
- **NPI:** 1649854456 (Entity type: Individual)
- **Enumerated:** May 7, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 6761 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2930 11TH AVE, Evans, CO 80620-1011
- **Phone:** (970) 353-9403
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2020
## Record status
- **NPPES last updated:** June 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1649854456) · Data from the CMS NPPES public registry.