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Laura Jean Wallace

Pediatrics β€’ Bloomington, MN

Active NPI 1841619848 Individual Practitioner Female Practitioner
Practice location in NPPES

8600 Nicollet Ave S
Bloomington, MN 554202824

Call 9525412800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8600 Nicollet Ave S

Bloomington, MN 554202824

Telephone 9525412800
Fax 9528867015
Organization at the Same NPPES Address or Phone
Group Health Plan Inc Facility NPI 1619037660

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Albuquerque, NM. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Laura Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Laura Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomington and Minnesota

20 active clinicians are listed under Pediatrics with a practice address in Bloomington, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

10% of these 20 clinicians have the CMS telehealth indicator.

15% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 61835

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES NM RS2014-0296

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20171018000436

Enrollment State Jurisdiction

MN

PECOS Control ID

7315167848

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

Msc 10 5590, 1 University Of New Mexico

Albuquerque, NM 871310001

Phone: 5052725551

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Dr. Ayman Ali , MD

Family Medicine

NPI 1760644934

Doctor of Medicine (M.D.)

Dr. Stephanie Allen-Swanson , MD

Obstetrics & Gynecology

NPI 1245793876

Doctor of Medicine (M.D.)

Julia Biermaier , NP

Nurse Practitioner - Adult Health

NPI 1730616756

Nurse Practitioner

Matthew Buehler

Nurse Practitioner

NPI 1992296016
NPI 1184298002

Doctor of Medicine (M.D.)

NPI 1366415127

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: NM RS2014-0296)

βœ…
NPI Profile Active October 05, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 05, 2017

Registered at 8600 NICOLLET AVE S, BLOOMINGTON, MN 554202824 (Tel: 9525412800)

πŸ“
Updated Business Mailing Address October 05, 2017

Registered at 8170 33RD AVE S, MINNEAPOLIS, MN 554254516

πŸ‘€
Provider Name / Credentials Updated October 05, 2017

Recorded as LAURA WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2017

Pediatrics (license number reported to NPPES: MN 61835)

πŸ“
Updated Practice Location September 09, 2017

Registered at 8600 NICOLLET AVE S, BLOOMINGTON, MN 554202824 (Tel: 9525412800)

πŸ“
Updated Business Mailing Address September 09, 2017

Registered at 8170 33RD AVE S, MINNEAPOLIS, MN 554254516

βœ…
NPI Profile Active June 28, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 28, 2014

Registered at MSC 10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052725551)

πŸ“
Business Mailing Address (Initial Record) June 28, 2014

Registered at MSC 10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052725551)

πŸ‘€
Provider Name / Credentials (Initial Record) June 28, 2014

Recorded as LAURA WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2014

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: NM RS2014-0296)

🟒
Initial NPI Registration & Enumeration April 08, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841619848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2014
Last Update: March 17, 2018
Sole Proprietor: No

Other Pediatrics Specialists in Bloomington

All Pediatrics Specialists in Bloomington

Mailing Address

8170 33rd Ave S

Minneapolis, MN 554254516

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.