DR. MIKAELA WALLACE MD
NPI 1992298467
Family Medicine in Lubbock, TX
About Dr. Mikaela Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIKAELA WALLACE MD (NPI 1992298467) is an individual family medicine provider in Lubbock, Texas, licensed in Texas (T2287) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mikaela Wallace Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Mikaela Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lubbock, TX 79407
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Umc Physicians
- 117 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center
Acute Care Hospitals · Lubbock, TXLamb Healthcare Center
Acute Care Hospitals · Littlefield, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mikaela Wallace's NPI number?
The NPI number for Mikaela Wallace is 1992298467. It was assigned to this individual provider in the NPPES registry on June 10, 2018.
Where is Mikaela Wallace located?
Mikaela Wallace practices at 7301 Milwaukee Ave, Lubbock, TX 79424. The listed phone number is (806) 761-0464.
What is Mikaela Wallace's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mikaela Wallace enrolled in Medicare?
Yes. Mikaela 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.
Which organization bills Medicare for Mikaela Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikaela Wallace reassigns Medicare benefits to Physician Network Services (Lubbock, TX). 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 Mikaela Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mikaela Wallace accept?
Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Mikaela 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 Mikaela Wallace affiliated with any hospitals?
According to CMS data, Mikaela Wallace is affiliated with University Medical Center and Lamb Healthcare Center.
When was this NPI record last updated?
The NPPES record for Mikaela Wallace was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Mikaela Wallace, MD · NPI 1992298467
Family Medicine physician in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since June 10, 2018.
## Identity
- **NPI:** 1992298467 (Entity type: Individual)
- **Enumerated:** June 10, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** T2287 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7301 MILWAUKEE AVE, Lubbock, TX 79424-0626
- **Phone:** (806) 761-0464 · **Fax:** (806) 698-6710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physician Network Services (NPI 1174782940, Lubbock, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas Tech University Health Science Center School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** May 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1992298467) · Data from the CMS NPPES public registry.