MS. MARGARET A WALLACE FNP
NPI 1689691115
Nurse Practitioner - Family in Creve Coeur, MO

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20, CREVE COEUR, MO 63141(314) 362-7509(314) 362-7522 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Apr 25, 2024, Apr 10, 2024 and 8 more (11 updates tracked since 2015).

About Ms. Margaret A Wallace Fnp NPPES

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

MS. MARGARET A WALLACE FNP (NPI 1689691115) is an individual family provider in Creve Coeur, Missouri, licensed in Missouri (073145) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1689691115
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARGARET A WALLACECredential: FNP
Location Address1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20Creve Coeur, MO 63141-6431
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7509 · Fax (314) 362-7522
Fax(314) 362-7522
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 17, 202511 updates tracked since enumeration
NPI 1689691115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 073145
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 073145 (MO)
1044 N MASON RD, Creve Coeur, MO 63141

Other Identifiers 1

Medicaid425371408MO

Accepted Insurance

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

Ms. Margaret A Wallace Fnp 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 ID9739216862
PECOS Enrollment IDI20100422000184
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.

Areas of Expertise CMS Part B claims 5

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
424 services224 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services76 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
59 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Colon & Rectal Surgery
1044 N MASON RD, DIV SURG COLON/RECTAL, STE 310
SAINT LOUIS, MO 63141
Nurse Practitioner
1044 N MASON RD, DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 63141
Physician Assistant
1044 N MASON RD, DIV IM ENDOCRINOLOGY, STE 330
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
1044 N MASON RD, DEPT ORTHOPAEDIC SURGERY, STE 110/210
SAINT LOUIS, MO 63141
Psychologist (Clinical)
1044 N MASON RD, DIV IM GERIATRIC MED, STE 330
SAINT LOUIS, MO 63141
Internal Medicine
1044 N MASON RD, DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 63141
Speech-Language Pathologist
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20
CREVE COEUR, MO 63141
Otolaryngology
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20
CREVE COEUR, MO 63141

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 Margaret Wallace's NPI number?

The NPI number for Margaret Wallace is 1689691115. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Margaret Wallace located?

Margaret Wallace practices at 1044 N Mason Rd Dept Otolaryngology, Ste L20, Creve Coeur, MO 63141. The listed phone number is (314) 362-7509.

What is Margaret Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Margaret Wallace enrolled in Medicare?

Yes. Margaret 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.

What insurance does Margaret Wallace accept?

Health plans from Cox HealthPlans list Margaret 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 Margaret Wallace was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.