LISA WALLACE RN
NPI 1720476641
Nurse Practitioner - Psychiatric/Mental Health in Mather, CA

NPI Status: Active since December 30, 2014

Contact Information

10535 HOSPITAL WAY
MATHER, CA
ZIP 95655
Phone: (916) 366-5336

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Medicare Quality Reporting

About LISA WALLACE

This page provides the complete NPI Profile along with additional information for Lisa Wallace, a provider established in Mather, California with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1720476641 assigned on December 2014. The practitioner's primary taxonomy code is 363LP0808X with license number 95006507 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1720476641
Provider Name
LISA WALLACE RN
Gender
Female
Entity Type
Individual
Location Address
10535 HOSPITAL WAY MATHER, CA 95655
Location Phone
(916) 366-5336
Mailing Address
10535 HOSPITAL WAY MATHER, CA 95655
Mailing Phone
(916) 366-5336
Is Sole Proprietor?
No
Enumeration Date
12-30-2014
Last Update Date
11-12-2021
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A nurse practitioner (NP) like Lisa Wallace is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95006507
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

821591 (CA)

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 94
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720476641, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 8 + 7 + 1 + 2 + 6 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1720476641.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
10535 HOSPITAL WAY, MATHER VA HOSPITAL
MATHER, CA 95655
Internal Medicine (Infectious Disease)
10535 HOSPITAL WAY, MATHER VA HOSPITAL
MATHER, CA 95655
Specialist
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Internal Medicine (Infectious Disease)
10535 HOSPITAL WAY
MATHER, CA 95655
Internal Medicine (Geriatric Medicine)
10535 HOSPITAL WAY
MATHER, CA 95655
Otolaryngology
10535 HOSPITAL WAY
MATHER, CA 95655
Physical Medicine & Rehabilitation
10535 HOSPITAL WAY, PHYSICAL MEDICINE AND REHABILITATION (117)
MATHER, CA 95655
Internal Medicine
10535 HOSPITAL WAY
MATHER, CA 95655
Family Medicine
10535 HOSPITAL WAY
MATHER, CA 95655
Physical Medicine & Rehabilitation
10535 HOSPITAL WAY, PMR SERVICE
MATHER, CA 95655
Radiology (Diagnostic Radiology)
10535 HOSPITAL WAY
MATHER, CA 95655
Nurse Practitioner (Acute Care)
10535 HOSPITAL WAY, CARDIOLOGY DEPARTMENT/111
MATHER, CA 95655
Surgery
10535 HOSPITAL WAY
MATHER, CA 95655
Physician Assistant
10535 HOSPITAL WAY
MATHER, CA 95655
Internal Medicine
10535 HOSPITAL WAY
MATHER, CA 95655
Radiology (Diagnostic Radiology)
10535 HOSPITAL WAY, MATHER AF RADIOLOGY
MATHER, CA 95655
Internal Medicine
10535 HOSPITAL WAY
MATHER, CA 95655
Nurse Practitioner (Adult Health)
10535 HOSPITAL WAY
MATHER, CA 95655
Pharmacist (Pharmacotherapy)
10535 HOSPITAL WAY, PHARMACY (119)
MATHER, CA 95655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720476641, enumerated as an "individual" on December 30, 2014.

The provider is located at 10535 HOSPITAL WAY MATHER, CA 95655 and the phone number is (916) 366-5336.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.