Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Heather A Wallace , DSC, PA-C

Physician Assistant - Surgical โ€ข Duluth, MN

Active NPI 1821342106 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

915 E 1st St
Duluth, MN 558052107

Call 2182496450 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

915 E 1st St

Duluth, MN 558052107

Telephone 2182496450
Organization at the Same NPPES Address or Phone
St. Luke's Hospital Of Duluth Facility NPI 1003860792

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 9 distinct additional practice-address records in Indianapolis, IN; Johnson City, NY; Portsmouth, VA and 5 more. See the list

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

CMS Doctors and Clinicians lists 4 distinct group names: St Josephs Medical Pc; St. Luke'S Hospital Of Duluth; United Medical Associates Pc and 1 more. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2012

Medicare patients

79 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $2,353 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $1,196 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

175 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$749 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $72.76 across 3 records.

By nature of payment

  • Food and Beverage: $72.76 across 3 records.

Reporting-company totals

  • Stryker Corporation: $35.44 across 1 record.
  • W. L. Gore & Associates, Inc.: $23.29 across 1 record.
  • Inari Medical, Inc.: $14.03 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2012

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Heather 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 Heather 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 Duluth and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant - Surgical in Minnesota (2024, 127 clinicians with data). Median for this group: 165. Middle half: 62 to 395.

Too few clinicians listed under Physician Assistant - Surgical in Duluth have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant - Surgical in Minnesota (2024, 127 clinicians with data). Median for this group: $8,860. Middle half: $3,323 to $17,836.

Too few clinicians listed under Physician Assistant - Surgical in Duluth have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant - Surgical in Minnesota (2024, 127 clinicians with data). Median for this group: $6,500. Middle half: $2,532 to $12,971.

Too few clinicians listed under Physician Assistant - Surgical in Duluth have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant - Surgical in Minnesota (2024, 142 clinicians with data). Median for this group: 114. Middle half: 53 to 223.

Too few clinicians listed under Physician Assistant - Surgical in Duluth have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant - Surgical in Minnesota (2024, 142 clinicians with data). Median for this group: $632. Middle half: $203 to $1,896.

Too few clinicians listed under Physician Assistant - Surgical in Duluth have Medicare Part D data for 2024 to compare.

12 active clinicians are listed under Physician Assistant - Surgical with a practice address in Duluth, MN (226 in Minnesota).

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

Telehealth indicator in Duluth

0% of these 12 clinicians have the CMS telehealth indicator.

75% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $72.76.

Manufacturer Payment Nature Product Type Amount ($)
Stryker Corporation
Food and Beverage
In-kind items and services
FLOWTRIEVER CATHETER, S General $35.44
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
Balloon Sheath with Dilator General $23.29
Inari Medical, Inc.
Food and Beverage
In-kind items and services
FLOWTRIEVER CATHETER, S General $14.03

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
21 21 $85.86 $54.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 15 $131.00 $80.49

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clopidogrel Clopidogrel Bisulfate 74 4,920 $709.34 23
Oxycodone Hcl Oxycodone Hcl 11 35 $39.76 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-10
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES MN 15336
Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES WA PA61359713
Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES VA 0110004235

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES NY 029464
Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES NJ 25MP00742200
Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IN 10004010A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.007882RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES IL 085.010935
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
300077904 (IN)
Other Identifier Medicare Ptan
233690187 (IN)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20161007001022

Enrollment State Jurisdiction

VA

PECOS Control ID

0547558504

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

United Medical Associates Pc

33 -57 Harrison St, Johnson City, NY 137902107

Phone: 6077636622

St Josephs Medical Pc

301 Prospect Ave, Syracuse, NY 132031807

Phone: 3157035200

St Josephs Medical Pc

301 Prospect Ave, Syracuse, NY 132031807

St Josephs Medical Pc

5100 W Taft Rd, Liverpool, NY 130884841

St. Luke's Hospital Of Duluth

1000 E 1st St, Duluth, MN 558052297

Phone: 2182496450

St. Luke's Hospital Of Duluth

915 E 1st St, Duluth, MN 558052107

Phone: 2182495555

Urgent Specialty Associates Pllc

7101 Jahnke Rd, Richmond, VA 232254017

Phone: 8044830000

Secondary Practice Locations

3000 Arlington Ave Ste 2c

Toledo, OH 436142595

Phone: 4193833759

104 Union Ave

Syracuse, NY 132031843

Phone: 3154240490

620 John Paul Jones Cir

Portsmouth, VA 237082111

Phone: 7579535000

5486 Indian River Rd

Virginia Beach, VA 234645365

Phone: 7574242490

1100 Goethals Dr Ste E

Richland, WA 993523301

Phone: 5099423095

33-57 Harrison St

Johnson City, NY 137902107

Phone: 6077636311

301 Prospect Ave

Syracuse, NY 132031807

Phone: 3154485331

7101 Jahnke Rd

Richmond, VA 232254017

Phone: 8044830000

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 3179620582

Clinicians Sharing This Practice Address or Phone

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

2 listed
Dr. Jarrod Buresh , DO

Surgery - Vascular Surgery

NPI 1326071259

Doctor of Osteopathic Medicine (D.O.)

Lynsey Rangel

Surgery - Vascular Surgery

NPI 1851736185

Career & Practice History Timeline

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

34 Historical Events
๐Ÿ“
Updated Practice Location December 10, 2025

Registered at 915 E 1ST ST, DULUTH, MN 558052107 (Tel: 2182496450)

๐Ÿ“
Updated Business Mailing Address December 10, 2025

Registered at 3066 SEARS RD, SUGARCRK TWP, OH 453707726

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 104 Union Ave, Syracuse, NY 132031843

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 33-57 Harrison St, Johnson City, NY 137902107

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 1100 Goethals Dr Ste E, Richland, WA 993523301

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 301 Prospect Ave, Syracuse, NY 132031807

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 1701 N Senate Blvd, Indianapolis, IN 462021239

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 7101 Jahnke Rd, Richmond, VA 232254017

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 5486 Indian River Rd, Virginia Beach, VA 234645365

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 620 John Paul Jones Cir, Portsmouth, VA 237082111

๐Ÿข
Secondary Practice Location Registered December 10, 2025

Additional practice office at 3000 Arlington Ave Ste 2C, Toledo, OH 436142595

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2025

Physician Assistant (license number reported to NPPES: WA PA61359713)

๐Ÿ“
Updated Business Mailing Address February 01, 2024

Registered at 53 RENAISSANCE WOODS CT, XENIA, OH 453858703

๐Ÿ“
Updated Practice Location September 28, 2023

Registered at 1701 N SENATE BLVD, INDIANAPOLIS, IN 462021239 (Tel: 3179620582)

๐Ÿ“
Updated Business Mailing Address September 28, 2023

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2023

Physician Assistant (license number reported to NPPES: VA 0110004235)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2023

Physician Assistant (license number reported to NPPES: WA PA61359713)

๐Ÿ“
Updated Practice Location January 31, 2023

Registered at 301 PROSPECT AVE, SYRACUSE, NY 132031807 (Tel: 3154485331)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2023

Physician Assistant (license number reported to NPPES: VA 0110004235)

๐Ÿ“
Updated Practice Location November 03, 2022

Registered at 5486 INDIAN RIVER RD, VIRGINIA BEACH, VA 234645365 (Tel: 7574242490)

๐Ÿ‘ค
Provider Name / Credentials Updated September 16, 2021

Recorded as HEATHER WALLACE, DSC., PA-C

๐Ÿ“
Updated Practice Location April 06, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579535000)

๐Ÿ“
Updated Business Mailing Address April 06, 2021

Registered at NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONE CIRCLE, PORTSMOUTH, VA 23708

โœ…
NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location November 06, 2017

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109 (Tel: 7037841630)

๐Ÿ“
Updated Business Mailing Address November 06, 2017

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109 (Tel: 7037841630)

๐Ÿ‘ค
Provider Name / Credentials Updated November 06, 2017

Recorded as HEATHER WALLACE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Physician Assistant

โœ…
NPI Profile Active July 06, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 06, 2015

Registered at 3399 STRAUSS AVE, BLDG 901 STE 219, INDIAN HEAD, MD 206405164 (Tel: 3017445026)

๐Ÿ“
Business Mailing Address (Initial Record) July 06, 2015

Registered at 3399 STRAUSS AVE, BLDG 901 STE 219, INDIAN HEAD, MD 206405164 (Tel: 3017445026)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 06, 2015

Recorded as HEATHER WALLACE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2015

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration November 07, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821342106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2012
Last Update: December 10, 2025
Sole Proprietor: No

Other Physician Assistant - Surgicals in Duluth

All Physician Assistant - Surgicals in Duluth

Mailing Address

3066 Sears Rd

Sugarcrk Twp, OH 453707726

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.