MR. CRAIG PHILIP WALLACE PA-C
NPI 1851351522
Physician Assistant - Medical in Olympia, WA

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
700 LILLY RD NE, OLYMPIA, WA 98506(360) 923-7000 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Craig Philip Wallace Pa-c NPPES

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

MR. CRAIG PHILIP WALLACE PA-C (NPI 1851351522) is an individual medical provider in Olympia, Washington, licensed in Washington (PA10003829) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tacoma, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1851351522
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CRAIG PHILIP WALLACECredential: PA-C
Location Address700 LILLY RD NEOlympia, WA 98506-5115
Mailing Address700 Lilly Rd NeOlympia, WA 98506-5115 · (360) 923-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 25, 2006
Last NPPES UpdateMay 10, 2021
NPPES CertifiedMay 10, 2021
NPI 1851351522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA10003829
700 LILLY RD NE, Olympia, WA 98506

Secondary Practice Location 1

Location 1Va Puget Sound, American Lake DivisionTacoma, WA 98493-0001 · Phone (253) 582-8440 ext. 75048

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

Mr. Craig Philip Wallace 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 ID4486999729
PECOS Enrollment IDI20181214001513
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

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.
23 services19 patients

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.

Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Dermatology
700 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Counselor (Mental Health)
700 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Internal Medicine (Hematology & Oncology)
700 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Obstetrics & Gynecology
700 LILLY RD NE
OLYMPIA, WA 98506

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 Craig Wallace's NPI number?

The NPI number for Craig Wallace is 1851351522. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Craig Wallace located?

Craig Wallace practices at 700 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 923-7000.

What is Craig Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Craig Wallace enrolled in Medicare?

Yes. Craig 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.

When was this NPI record last updated?

The NPPES record for Craig Wallace was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.