Lisa Marie Wallace
NP | Nurse Practitioner - Adult Health | 17+ years Exp
2401 W University Ave, Muncie
Indiana, 47303-3428
765-281-2030
Lisa Marie Wallace is a Muncie, Indiana based nurse practitioner with 17 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 Marie Wallace is 71003281A for Adult Health in Indiana. Her current practice location is 2401 W University Ave, Muncie. Patients can reach her at 765-281-2030. Lisa Marie Wallace is NP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1134438286.
Lisa Marie 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 Marie 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 Marie Wallace |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2401 W University Ave, Muncie,
Indiana, 47303-3428 |
| Phone: | 765-281-2030 |
Professional Identification Codes:
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: | 16 Oct, 2025 |
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 Marie 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 Marie 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 Marie 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 Marie Wallace
250 N Shadeland Ave,
Indianapolis, Indiana |
| Zip: | 46219-4959 |
Patients can reach Lisa Marie Wallace at
2401 W University Ave, Muncie, Indiana or can
call to book an appointment on 765-281-2030.
Comments/ Reviews:
Patients can read all the reviews posted for Lisa Marie Wallace below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Lisa Marie Wallace. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.