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MAURA KATHLEEN WALLACE PHYSICIAN ASSISTANT
NPI 1881459667
Physician Assistant - Medical in Worthington, OH

Active since February 20, 2024PECOS EnrolledAccepts Medicare Assignment
874 PROPRIETORS RD, WORTHINGTON, OH 43085(614) 885-9405(614) 885-9481 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maura Kathleen Wallace Physician Assistant NPPES

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

MAURA KATHLEEN WALLACE PHYSICIAN ASSISTANT (NPI 1881459667) is an individual medical provider in Worthington, Ohio, licensed in Ohio (50.008630) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881459667
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMAURA KATHLEEN WALLACECredential: PHYSICIAN ASSISTANT
Location Address874 PROPRIETORS RDWorthington, OH 43085-3152
Mailing Address874 Proprietors RdWorthington, OH 43085-3152 · (614) 885-9405 · Fax (614) 885-9481
Phone(614) 885-9405
Fax(614) 885-9481
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 20, 2024
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1881459667 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 OH · 50.008630
874 PROPRIETORS RD, Worthington, OH 43085
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Maura Kathleen Wallace Physician Assistant 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 ID446790398
PECOS Enrollment IDI20240906002002
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.
64 services56 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services17 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT MICHAEL REINECK DO
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405
EUGENIA L KIM D.O.
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405
ELIZABETH S UNK M.D.
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405
WORTHINGTON FAMILY PHYSICIANS, INC.
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405
VICTORIA RENTEL MD
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405
ANTHONY RUTHVEN CATON MD
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405
DR. YUNSHENG KRISTINE TSAI M.D,
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405
DR. ALEX SHYANG TSAI D.O.
Family Medicine
874 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 885-9405

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 Maura Wallace's NPI number?

The NPI number for Maura Wallace is 1881459667. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Maura Wallace located?

Maura Wallace practices at 874 Proprietors Rd, Worthington, OH 43085. The listed phone number is (614) 885-9405.

What is Maura Wallace's specialty?

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

Is Maura Wallace enrolled in Medicare?

Yes. Maura 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 Maura Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Maura 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 Maura Wallace was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.