Wallace Family Practice PA
About this NPIWhat this record shows.
NPI 1063548410 is registered to Wallace Family Practice PA, a healthcare organisation classified as "Clinic/Center" and located at 3400 Lee Blvd, Suite 108 in Lehigh Acres, Florida. The organisation's authorised official is Tasha Wallace. The organisation has been enumerated in the NPI registry since 2007.
Your brand here.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20070321000403Clinic/Group PracticeFL
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Wallace Family Practice PA accepts. To confirm in-network status with your specific health plan, contact Wallace Family Practice PA directly at (239) 369-2903.
Frequently asked
Yes. NPI 1063548410 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (239) 369-2903.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Wallace Family Practice PA is a Type-2 organisational NPI.