SHANNON L WALLACE FNP-BC, PMHNP-BC
NPI 1851481584
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN
About Shannon L Wallace Fnp-bc, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON L WALLACE FNP-BC, PMHNP-BC (NPI 1851481584) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71001501) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon L Wallace Fnp-bc, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46202 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.
INDIANAPOLIS, IN 46202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851481584, enumerated as an "individual" on October 13, 2006.
The provider is located at 1481 W 10TH ST INDIANAPOLIS, IN 46202 and the phone number is (317) 554-0000.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
