COLLEEN RAE WALLIS P.A.C.
NPI 1922066117
Physician Assistant in Hibbing, MN

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
3605 MAYFAIR AVE, HIBBING, MN 55746(218) 262-3441(218) 362-6989 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colleen Rae Wallis P.a.c. NPPES

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

COLLEEN RAE WALLIS P.A.C. (NPI 1922066117) is an individual physician assistant in Hibbing, Minnesota, licensed in Minnesota (R 1069736) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922066117
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOLLEEN RAE WALLISCredential: P.A.C.
Location Address3605 MAYFAIR AVEHibbing, MN 55746-2923
Mailing Address3605 Mayfair AveHibbing, MN 55746-2923 · (218) 262-3441 · Fax (218) 362-6989
Fax(218) 362-6989
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 11, 2013
NPI 1922066117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · R 1069736
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3605 MAYFAIR AVE, Hibbing, MN 55746

Other Names 1

Former Name (1)Colleen Rae Walker P.a.c.

Other Identifiers 1

Medicare UPINS48605MN

Accepted 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

Colleen Rae Wallis P.a.c. 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 ID42298168
PECOS Enrollment IDI20040713001279
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 3

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, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services81 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
85 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55746 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost75

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers46 claims108 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers24 claims31 services$1.11 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims352 services$6.00 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,497 services$0.39 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier25 claims25 services$5.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$101.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Internal Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Nurse Practitioner
3605 MAYFAIR AVE
HIBBING, MN 55746
Surgery
3605 MAYFAIR AVE
HIBBING, MN 55746
Audiologist
3605 MAYFAIR AVE
HIBBING, MN 55746
Physician Assistant
3605 MAYFAIR AVE
HIBBING, MN 55746
Nurse Practitioner
3605 MAYFAIR AVE
HIBBING, MN 55746
Chiropractor
3605 MAYFAIR AVE
HIBBING, MN 55746

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 Colleen Wallis's NPI number?

The NPI number for Colleen Wallis is 1922066117. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Colleen Wallis located?

Colleen Wallis practices at 3605 Mayfair Ave, Hibbing, MN 55746. The listed phone number is (218) 262-3441.

What is Colleen Wallis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Colleen Wallis enrolled in Medicare?

Yes. Colleen Wallis 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 Colleen Wallis accept?

Health plans from Medica list Colleen Wallis 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.

Is Colleen Wallis affiliated with any hospitals?

According to CMS data, Colleen Wallis is affiliated with University Medical Center-Mesabi/ Mesaba Clinics.

When was this NPI record last updated?

The NPPES record for Colleen Wallis was last updated on July 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.