JOHNNA WALLACE AUD
NPI 1740610005
Audiologist in Oklahoma City, OK
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Johnna Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
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 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.
Where is Johnna Wallace located?
Johnna Wallace practices at 11500 N Portland Ave, Oklahoma City, OK 73120. The listed phone number is (405) 548-4300.
What is Johnna Wallace's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Johnna Wallace enrolled in Medicare?
Yes. Johnna 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.
Which organization bills Medicare for Johnna Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnna Wallace reassigns Medicare benefits to Hearts For Hearing Foundation (Oklahoma City, OK). The 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 Johnna Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnna Wallace accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Johnna 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 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 19 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.
# Johnna Wallace, AUD · NPI 1740610005
Audiologist provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since November 22, 2013.
## Identity
- **NPI:** 1740610005 (Entity type: Individual)
- **Enumerated:** November 22, 2013
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 4140 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 11500 N PORTLAND AVE, Oklahoma City, OK 73120
- **Phone:** (405) 548-4300 · **Fax:** (405) 548-4350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Hearts For Hearing Foundation (NPI 1215006150, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 28, 2025
- **Other identifiers:** Medicaid 200100230A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1740610005) · Data from the CMS NPPES public registry.