| Michelle Renee Wallace, NP | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Michelle Renee Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568232676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71014833A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 13499 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital East | Indianapolis, IN | Hospital |
| Community Hospital North | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1386 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Renee Wallace, NP Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Michelle Renee Wallace, NP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Nicole S Nipper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Brandi D'souza, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joan Grotewold, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5067 55th St Sw, Rochester, MN 55901 Phone: 507-292-7070 | |
Amy Behnken, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Carrissa Lee Donahue, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Judith Akinyi Okoth Dogo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Christopher Dirkes, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |