LAUREN WALLACE PA-C
NPI 1932851441
Physician Assistant in Mcalester, OK

Active since January 25, 2022PECOS EnrolledAccepts Medicare Assignment
1 E CLARK BASS BLVD STE 201, MCALESTER, OK 74501(918) 421-6753 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, Jan 25, 2022 (2 updates tracked since 2022).

About Lauren Wallace Pa-c NPPES

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

LAUREN WALLACE PA-C (NPI 1932851441) is an individual physician assistant in Mcalester, Oklahoma, licensed in Oklahoma (4427) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932851441
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN WALLACECredential: PA-C
Location Address1 E CLARK BASS BLVD STE 201Mcalester, OK 74501-4209
Mailing Address12624 Se 69th StOklahoma City, OK 73150-7438
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 25, 2022
Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
NPI 1932851441 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 OK · 4427
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.
1 E CLARK BASS BLVD STE 201, Mcalester, OK 74501

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

Lauren Wallace Pa-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 ID1759751555
PECOS Enrollment IDI20230111001861
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.

Hospital Affiliations CMS Care Compare 3

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74501 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center
1 E CLARK BASS BLVD STE 201
MCALESTER, OK 74501

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 Lauren Wallace's NPI number?

The NPI number for Lauren Wallace is 1932851441. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Lauren Wallace located?

Lauren Wallace practices at 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501. The listed phone number is (918) 421-6753.

What is Lauren Wallace's specialty?

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

Is Lauren Wallace enrolled in Medicare?

Yes. Lauren 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 Lauren Wallace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Lauren 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.

Is Lauren Wallace affiliated with any hospitals?

According to CMS data, Lauren Wallace is affiliated with St Lukes Hospital, Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Lauren Wallace was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.