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NPI · 1366486417 · NPPES-sourced

Mrs. Phyllis Wallace APRN

ActiveFamily Nurse Practitioner
NPI Number
1366486417
Type 1 · Individual
Taxonomy Code
363LF0000X
Contact
(580) 925-3286
License OK · 35497
Last Updated
Enumerated
Primary practice addressOK · 74849-1415
527 W 3rd StKonawa, OK 74849-1415
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About this NPIWhat this record shows.

NPI 1366486417 is registered to Mrs. Phyllis Wallace APRN, a Family Nurse Practitioner practising at 527 W 3rd St in Konawa, Oklahoma. Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Phyllis Wallace APRN has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 100155800BOK· Issued by SOONERCARE PROVIDER

Source: NPPES public registry.

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.

Practitioner

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 Mrs. Phyllis Wallace APRN accepts. To confirm in-network status with your specific health plan, contact Mrs. Phyllis Wallace APRN directly at (580) 925-3286.

Frequently asked

Yes. NPI 1366486417 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner 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 (580) 925-3286.

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. Mrs. Phyllis Wallace APRN is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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10 records · same addressOther providers at this location.

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Same specialtyOther Family Nurse Practitioner providers in Oklahoma.

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