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DR. HEATHER A WALLACE DSC., PA-C
NPI 1821342106
Physician Assistant - Surgical in Duluth, MN

Active since November 07, 2012PECOS EnrolledAccepts Medicare Assignment
915 E 1ST ST, DULUTH, MN 55805(218) 249-6450 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Jul 6, 2023, Jun 6, 2023 and 7 more (10 updates tracked since 2017).

About Dr. Heather A Wallace Dsc., Pa-c NPPES

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

DR. HEATHER A WALLACE DSC., PA-C (NPI 1821342106) is an individual surgical provider in Duluth, Minnesota, licensed in Minnesota (15336) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1821342106
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDR. HEATHER A WALLACECredential: DSC., PA-C
Location Address915 E 1ST STDuluth, MN 55805-2107
Mailing Address3066 Sears RdSugarcrk Twp, OH 45370-7726
Phone(218) 249-6450
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 7, 2012
Last NPPES UpdateDecember 10, 202510 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1821342106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in MN · 15336✔ Licensed in WA · PA61359713✔ Licensed in NY · 029464✔ Licensed in NJ · 25MP00742200✔ Licensed in IL · 085.010935
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110004235 (VA), 10004010A (IN), 50.007882RX (OH)
915 E 1ST ST, Duluth, MN 55805
Open in Google Maps ↗

Secondary Practice Locations 9

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-5000
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-0582 · Fax (317) 962-2082
Location 3104 Union AveSyracuse, NY 13203-1843 · Phone (315) 424-0490 · Fax (315) 475-0916
Location 45486 Indian River RdVirginia Beach, VA 23464-5365 · Phone (757) 424-2490
Location 57101 Jahnke RdRichmond, VA 23225-4017 · Phone (804) 483-0000
Location 6301 Prospect AveSyracuse, NY 13203-1807 · Phone (315) 448-5331 · Fax (315) 448-5589
Location 73000 Arlington Ave Ste 2CToledo, OH 43614-2595 · Phone (419) 383-3759 · Fax (419) 383-2962
Location 81100 Goethals Dr Ste ERichland, WA 99352-3301 · Phone (509) 942-3095 · Fax (509) 942-3097
Location 933-57 Harrison StJohnson City, NY 13790-2107 · Phone (607) 763-6311

Other Identifiers 2

Medicaid300077904IN
Other233690187IN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, HealthPartners, Medica and more.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

Dr. Heather A Wallace Dsc., Pa-c 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 ID547558504
PECOS Enrollment IDI20161007001022, I20230321000432, I20251028002408
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

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.

SCOTT IAN HALVORSON CRNA
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
ST. LUKE'S HOSPITAL OF DULUTH
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5353
MARK PAUL SUOJANEN M.D.
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5352
DR. GREGORY K BERNHARDT MD
Emergency Medicine
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5616
ALAN DAVID HAGEN PT
Physical Therapist
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
ANTHONY RICHARD GRAND PHARMD
Pharmacist
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
EMILY KATHRYN EASH CRNA
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5352
DR. DONALD L LEAKE MD
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5353

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 Heather Wallace's NPI number?

The NPI number for Heather Wallace is 1821342106. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Heather Wallace located?

Heather Wallace practices at 915 E 1st St, Duluth, MN 55805. The listed phone number is (218) 249-6450.

What is Heather Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Heather Wallace enrolled in Medicare?

Yes. Heather 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.

What insurance does Heather Wallace accept?

Health plans from CareSource, HealthPartners, MedMutual, Medica and Oscar Health Insurance and 1 other insurer list Heather 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.

Is Heather Wallace affiliated with any hospitals?

According to CMS data, Heather Wallace is affiliated with St Lukes Hospital and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Wallace was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.