MRS. BETH ANN WALLACE M.S.
NPI 1871846204
Audiologist in Peru, IL
About Mrs. Beth Ann Wallace M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BETH ANN WALLACE M.S. (NPI 1871846204) is an individual audiologist in Peru, Illinois, licensed in Illinois (147000988) and active in the NPI registry since October 2012. She is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Beth Ann Wallace M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Beth Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peru, IL 61354
- Reassigned Medicare billing, Illinois enrollment
- 2 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 4
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Beth Wallace's NPI number?
The NPI number for Beth Wallace is 1871846204. It was assigned to this individual provider in the NPPES registry on October 23, 2012.
Where is Beth Wallace located?
Beth Wallace practices at 4127 Progress Blvd, Peru, IL 61354. The listed phone number is (815) 223-3201.
What is Beth Wallace's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Beth Wallace enrolled in Medicare?
Yes. Beth Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Beth Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beth Wallace reassigns Medicare benefits to Wallace Center For Hearing, LLC (Peru, IL). 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 Beth Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Beth Wallace was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.