SARAH WALLACE RDN
NPI 1891405015
Dietitian, Registered in Logan, UT
About Sarah Wallace Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH WALLACE RDN (NPI 1891405015) is an individual dietitian, registered in Logan, Utah, licensed in Utah (13117880-4901) and active in the NPI registry since November 2022.
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)
Sarah Wallace Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sarah Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- 1,729 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.
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.
LOGAN, UT 84341
LOGAN, UT 84341
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 Sarah Wallace's NPI number?
The NPI number for Sarah Wallace is 1891405015. It was assigned to this individual provider in the NPPES registry on November 29, 2022.
Where is Sarah Wallace located?
Sarah Wallace practices at 1400 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-1000.
What is Sarah Wallace's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Sarah Wallace enrolled in Medicare?
Yes. Sarah Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sarah Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Wallace reassigns Medicare benefits to Ihc Health Services Inc (Logan, UT). 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 Sarah 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 Sarah Wallace was last updated on October 18, 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.
# Sarah Wallace, RDN · NPI 1891405015
Dietitian, Registered provider in Logan, Utah. Individual provider, active in the CMS NPPES registry since November 29, 2022.
## Identity
- **NPI:** 1891405015 (Entity type: Individual)
- **Enumerated:** November 29, 2022
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 13117880-4901 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 N 500 E, Logan, UT 84341-2455
- **Phone:** (435) 716-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1144736372, Logan, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891405015) · Data from the CMS NPPES public registry.