JOHNNA WALLACE AUD
NPI 1740610005
Audiologist in Oklahoma City, OK

Q: What is Johnna Wallace's NPI number?

The NPI number for Johnna Wallace is 1740610005. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Q: What is Johnna Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johnna Wallace was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 22, 2013Accepts Medicare Assignment

11500 N PORTLAND AVE, OKLAHOMA CITY, OK 73120(405) 548-4300(405) 548-4350 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2025, May 29, 2019, Oct 23, 2017 (3 updates tracked since 2017).

On this page

About Johnna Wallace Aud NPPES

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

JOHNNA WALLACE AUD (NPI 1740610005) is an individual audiologist in Oklahoma City, Oklahoma, licensed in Oklahoma (4140) and active in the NPI registry since November 2013. She maintains 2 additional practice locations and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740610005

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameJOHNNA WALLACECredential: AUD

Location Address11500 N PORTLAND AVEOklahoma City, OK 73120

Mailing Address11500 N Portland AveOklahoma City, OK 73120-4625 · (405) 548-4300 · Fax (405) 548-4350

Phone(405) 548-4300

Fax(405) 548-4350

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 22, 2013

Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1740610005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

License✔ Licensed in OK · 4140

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.

11500 N PORTLAND AVE, Oklahoma City, OK 73120

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Secondary Practice Locations 2

Location 18125 E 101st St Ste 50Tulsa, OK 74133-7245 · Phone (918) 392-7600 · Fax (405) 548-4350

Location 22272 36th Ave NW Ste 200Norman, OK 73072-3251 · Phone (405) 767-4200 · Fax (405) 548-4350

Other Identifiers 1

Medicaid200100230AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Johnna Wallace Aud 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 ID5698908036

PECOS Enrollment IDI20140509000153

Areas of Expertise CMS Part B claims 2

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.

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

64 services64 patients

Test for eardrum and muscle function 92550

This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.

56 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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

$53.00 typical visit price

range $53.00 – $162.61

Typical copayment $13.25 (range $13.25 – $40.65)

Most-billed visit code 99202

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

REBECCA WOLTERS M.S., CCC-SLP

Speech-Language Pathologist