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SHANNON MAY WALLACE NP
NPI 1891223293
Nurse Practitioner - Family in Columbus, OH

Active since May 30, 2017PECOS Enrolled
700 CHILDRENS DR FL HALL1, COLUMBUS, OH 43205(614) 722-3004 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, May 30, 2017 (2 updates tracked since 2017).

About Shannon May Wallace Np NPPES

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

SHANNON MAY WALLACE NP (NPI 1891223293) is an individual family provider in Columbus, Ohio, licensed in Ohio (020549) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grove City.

NPPES Registry Identity

NPI1891223293
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MAY WALLACECredential: NP
Location Address700 CHILDRENS DR FL HALL1Columbus, OH 43205-2664
Mailing Address700 Childrens Dr Fl Hall1Columbus, OH 43205-2664
Phone(614) 722-3004
Sole ProprietorNo
Enumeration DateMay 30, 2017
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1891223293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 020549
700 CHILDRENS DR FL HALL1, Columbus, OH 43205
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Secondary Practice Location 1

Location 11350 Stringtown RdGrove City, OH 43123-9743 · Phone (614) 722-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Shannon May Wallace Np 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 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Shannon Wallace's NPI number?

The NPI number for Shannon Wallace is 1891223293. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Shannon Wallace located?

Shannon Wallace practices at 700 Childrens Dr Fl Hall1, Columbus, OH 43205. The listed phone number is (614) 722-3004.

What is Shannon Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Wallace enrolled in Medicare?

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

What insurance does Shannon Wallace accept?

Health plans from CareSource list Shannon 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 Shannon Wallace was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.