Paula M. Wallace, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

P.A.A10590.RX Issued in LA

Practice address

312 Grammont St Ste 401
Monroe, LA 71201-7403

Phone

(318) 966-1809

Fax

(318) 966-1810

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Francis Medical Group LLC

  • Internal Medicine Physician
  • Monroe, LA
  • NPI 1134405087
  Medicare reassignment Care Compare group NPD
• Ouachita Neurosurgery Center a Medical Corporation

  • Specialist
  • Monroe, LA
  • NPI 1992828123
  Medicare reassignment
• Cain Neurosurgery Clinic a Professional Medical Corporation

  • Neurological Surgery Physician
  • Monroe, LA
  • NPI 1649617259
  NPD (past)
• St Francis Medical Center, Inc

  • Rehabilitation Hospital Unit
  • Monroe, LA
  • NPI 1013906239
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1689698490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-323-1809",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST STE 401",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017403",
            "telephone_number": "318-966-1809",
            "fax_number": "318-966-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 WALNUT ST",
            "address_2": "STE 110",
            "address_purpose": "LOCATION",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016707",
            "country_code": "US",
            "telephone_number": "318-323-1809",
            "fax_number": "318-323-2668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "PAULA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "P.A.A10590.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429112",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi L Walker
• Rosie Michelle Walker
• Zanee Walker, MS
• Kristen Wallace, COTA
• Latrenda Davis Wallace, MHS
• Suhan Wallace, M.A.
• Tara Ezell Wallace, OTA
• Victoria Wallace, LCSW
• Walonda Shelise Wallace
• Crystal Wallingsford, CSW

• Surgical Physician Assistant in Monroe, LA
• Providers in Monroe, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.