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LAURA JEAN WALLACE
NPI 1841619848
Pediatrics in Bloomington, MN

Active since April 08, 2014PECOS Enrolled
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420(952) 541-2800(952) 886-7015 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Jean Wallace NPPES

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

LAURA JEAN WALLACE (NPI 1841619848) is an individual pediatrics provider in Bloomington, Minnesota, licensed in Minnesota (61835) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1841619848
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAURA JEAN WALLACE
Location Address8600 NICOLLET AVE SBloomington, MN 55420-2824
Mailing Address8170 33rd Ave SMinneapolis, MN 55425-4516
Phone(952) 541-2800
Fax(952) 886-7015
Sole ProprietorNo
Enumeration DateApril 8, 2014
Last NPPES UpdateMarch 17, 2018
✔ NPI 1841619848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 61835
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2014-0296 (NM)
8600 NICOLLET AVE S, Bloomington, MN 55420
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Secondary Practice Location 1

Location 1Msc 10 5590, 1 University of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-5551 · Fax (505) 272-6845

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Jean Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55420 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

DR. DARREN DALE BRAY MD
Pediatrics
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
DR. FRANTZ JUNIOR PIERRE TOUSSAINT OD
Optometrist
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
KAIHAN FAKHAR
Ophthalmology
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
MEGAN FERGE
Social Worker (Clinical)
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
AMBER L PELTIER PHARMD.
Pharmacist
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 887-6600
NAHID RAZMPOUR SHOKOHI CNM
Advanced Practice Midwife
8600 NICOLLET AVE S, MAIL STOP 31500A
BLOOMINGTON, MN 55420
Hennepin County (952) 887-6600
JOHN MICHAEL CONSOER OD
Optometrist
8600 NICOLLET AVE S, MAIL STOP 31500A
BLOOMINGTON, MN 55420
Hennepin County (952) 887-6600
PAOLA MICHELLE CALLE SARMIENTO MD
Internal Medicine
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800

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 Laura Wallace's NPI number?

The NPI number for Laura Wallace is 1841619848. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Laura Wallace located?

Laura Wallace practices at 8600 Nicollet Ave S, Bloomington, MN 55420. The listed phone number is (952) 541-2800.

What is Laura Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Laura Wallace enrolled in Medicare?

Yes. Laura Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Laura Wallace accept?

Health plans from HealthPartners and Medica list Laura 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 Laura Wallace was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.