Dr. Jordan Scott Wallace , MD
Pediatrics β’ Snoqualmie, WA
9801 Frontier Ave Se
Snoqualmie, WA 980655200
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
9801 Frontier Ave Se
Snoqualmie, WA 980655200
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2020
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, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
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.
Enrolled in Medicare (PECOS)
Dr. 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.
Can order Medicare-covered services
CMS lists Dr. 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Snoqualmie and Washington
4 active clinicians are listed under Pediatrics with a practice address in Snoqualmie, WA (1,752 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Sources: 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 Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-10-15NUCC Taxonomy Code: 208000000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20240920001010
WA
1951723493
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Internal Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist
Physician Assistant
Physician Assistant (Certified)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.), Master of Public Health
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 9801 FRONTIER AVE SE, SNOQUALMIE, WA 980655200 (Tel: 4258312300)
Pediatrics (license number reported to NPPES: WA MD61570069)
Registered at 9801 FRONTIER AVE SE, SNOQUALMIE, WA 980655200 (Tel: 4258312300)
Registered at 725 WELCH RD, PALO ALTO, CA 943041601 (Tel: 6504978000)
Registered at 725 WELCH RD, PALO ALTO, CA 943041601 (Tel: 6504978000)
Pediatrics (license number reported to NPPES: CA A188568)
Pediatrics (license number reported to NPPES: WA ML61058571)
NPI status registered as active in NPPES database
Registered at 4800 SAND POINT WAY NE # OC.7830, SEATTLE, WA 981053901 (Tel: 2069872525)
Registered at 4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 98105
Recorded as JORDAN WALLACE, MD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
9801 Frontier Ave Se
Snoqualmie, WA 980655200
Phone: 4258312300