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

Active since December 30, 2014
10535 HOSPITAL WAY, MATHER, CA 95655(916) 366-5336 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2021, Aug 14, 2019, Apr 12, 2018 and 2 more (5 updates tracked since 2017).

About Lisa Wallace Rn NPPES

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

LISA WALLACE RN (NPI 1720476641) is an individual psychiatric/mental health provider in Mather, California, licensed in California (95006507) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1720476641
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA WALLACECredential: RN
Location Address10535 HOSPITAL WAYMather, CA 95655-4200
Mailing Address10535 Hospital WayMather, CA 95655-4200 · (916) 366-5336
Phone(916) 366-5336
Sole ProprietorNo
Enumeration DateDecember 30, 2014
Last NPPES UpdateNovember 12, 20215 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1720476641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95006507
Also ListedRegistered NurseTaxonomy 163W00000X · License 821591 (CA)
10535 HOSPITAL WAY, Mather, CA 95655
Open in Google Maps ↗

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
100%94 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ALAYNA HUYNH NGUYEN
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7000
MS. JANE CHAN RPH
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 366-5321
DR. PATRICIA L. DALTON M.D.
Specialist
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Sacramento County (916) 843-7000
SHIN SHAN CHO
Dietitian, Registered
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-9022
BRENDA JACKSON LMFT
Marriage & Family Therapist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-2918
JEFFREY JON METER MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7324
DR. DAVID SIEGEL M.D.
Internal Medicine
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7096
ERICKA RAMIREZ-SOLIS PH.D.
Psychologist (Clinical)
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (800) 382-8387

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 Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1720476641. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is Lisa Wallace located?

Lisa Wallace practices at 10535 Hospital Way, Mather, CA 95655. The listed phone number is (916) 366-5336.

What is Lisa Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lisa Wallace was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.