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PETER ALLAN WALLACE
NPI 1952156242
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 19, 2024PECOS Enrolled
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455(612) 625-6483 Get Directions Write a Review

NPPES record last updated: April 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Peter Allan Wallace NPPES

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

PETER ALLAN WALLACE (NPI 1952156242) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952156242
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER ALLAN WALLACE
Location Address420 DELAWARE ST SE, MMC 195Minneapolis, MN 55455
Mailing Address420 Delaware St Se, Mmc 195Minneapolis, MN 55455
Phone(612) 625-6483
Sole ProprietorNo
Enumeration DateApril 19, 2024
Last NPPES UpdateApril 21, 2024
NPPES CertifiedApril 21, 2024
✔ NPI 1952156242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE, MMC 195, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Allan Wallace 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.

Other Providers at the Same Location NPPES 2

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

JING LIGHT HAN M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 195
MINNEAPOLILS, MN 55455
Hennepin County (612) 625-5151
DR. ERIC HANS JENSEN MD
Surgery (Surgical Oncology)
420 DELAWARE ST SE, MMC 195, UNIVERSITY OF MINNESOTA PHYCIANS
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5411

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 Peter Wallace's NPI number?

The NPI number for Peter Wallace is 1952156242. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Peter Wallace located?

Peter Wallace practices at 420 Delaware St SE, Mmc 195, Minneapolis, MN 55455. The listed phone number is (612) 625-6483.

What is Peter Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Peter Wallace was last updated on April 21, 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.