WALLACE CENTER FOR HEARING, LLC
NPI 1700558467
Audiologist in Peru, IL

Q: What is Wallace Center For Hearing, LLC's NPI number?

The NPI number for Wallace Center For Hearing, LLC is 1700558467. It was assigned to this organization in the NPPES registry on October 1, 2021.

Q: What is Wallace Center For Hearing, LLC's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Active since October 01, 2021

4127 PROGRESS BLVD, PERU, IL 61354(815) 223-3201(815) 223-3202 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2023, Oct 1, 2021 (2 updates tracked since 2021).

On this page

About Wallace Center For Hearing, Llc NPPES

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

WALLACE CENTER FOR HEARING, LLC (NPI 1700558467) is a healthcare organization registered as an audiologist in Peru, Illinois and active in the NPI registry since October 2021. The organization lists Beth Ann Wallace, Audiologist, as its authorized official.

NPPES Registry Identity

NPI1700558467

Entity TypeOrganization

Primary Taxonomy231H00000X

Legal Business NameWALLACE CENTER FOR HEARING, LLC

Location Address4127 PROGRESS BLVDPeru, IL 61354-1112

Mailing Address3436 E 325th RdLa Salle, IL 61301-9734 · (815) 866-2084

Phone(815) 223-3201

Fax(815) 223-3202

Organization SubpartNo

Authorized OfficialBeth Ann WallaceAudiologist · (815) 233-3201

Enumeration DateOctober 1, 2021

Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1700558467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

4127 PROGRESS BLVD, Peru, IL 61354

Open in Google Maps ↗

Other Names 1

Former Legal Business NameWallace Center For Hearing, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace Center For Hearing, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20211202000124Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wallace Center For Hearing, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Beth Wallace, M.S.

Qualified Audiologist

NPI 1871846204

4127 PROGRESS BLVD
Peru, IL 61354

(815) 223-3201

Same address

Madison Sudaj, AU.D.

Qualified Audiologist

NPI 1437880804

8038 MACINTOSH LN
Rockford, IL 61107

(815) 332-6800

64 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wallace Center For Hearing, LLC's NPI number?

The NPI number for Wallace Center For Hearing, LLC is 1700558467. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Wallace Center For Hearing, LLC located?

Wallace Center For Hearing, LLC is located at 4127 Progress Blvd, Peru, IL 61354. The listed phone number is (815) 223-3201.

What is Wallace Center For Hearing, LLC's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Wallace Center For Hearing, LLC enrolled in Medicare?

Yes. Wallace Center For Hearing, LLC is registered in the Medicare PECOS enrollment system.

When is Wallace Center For Hearing, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wallace Center For Hearing, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Wallace Center For Hearing, LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wallace Center For Hearing, LLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.