NP | Nurse Practitioner - Adult Health | 16+ years Exp
Accepts Medicare Adult Health Nurse Practitioner in Muncie, Indiana.
Lisa M Wallace is a Muncie, Indiana based nurse practitioner with 16 years of experience in Adult Health. She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa M Wallace is 71003281A for Adult Health in Indiana. Her current practice location is 2525 W University Ave Ste 300, Muncie. Patients can reach her at 765-289-5420 or can fax her at 765-281-2065. Lisa M Wallace is NP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1134438286. Lisa M Wallace can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Lisa M Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lisa M Wallace
Specialization:
Adult Health Nurse Practitioner (ANP)
Gender:
Female
Credentials:
NP
Experience:
16+ years
Medical School Attended:
Other
Graduation Year:
2008
Accepts Medicare Assignment:
Yes
Practice Address:
2525 W University Ave Ste 300, Muncie, Indiana, 47303-3432
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5395931026
Enrollment ID:
I20101120000079
NPI Number:
1134438286
NPI Enumeration Date:
06 Oct, 2010
NPI Last Update On:
06 Apr, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Wallace are as mentioned below.
License Number
Specialization
State
Status
71003281A
Adult Health
Indiana
Primary
71003281A
Nurse Practitioner
Indiana
Secondary
71003281A
Clinical Nurse Specialist
Indiana
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(150011)
Marion, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa M Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Marion General Hospital (9133023625)
98
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa M Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
201000070
Medicaid
Indiana
00000932255
Other
Indiana
ANTHEM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lisa M Wallace 250 N Shadeland Ave, Indianapolis, Indiana
Zip:
46219-4959
Patients can reach Lisa M Wallace at 2525 W University Ave Ste 300, Muncie, Indiana or can call to book an appointment on 765-289-5420.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.