Samantha Wallace, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2015026152 Issued in MO

Practice address

3801 S National Ave
Springfield, MO 65807-5210

Phone

(417) 269-7728

Fax

(417) 269-7729

NPI assigned

Jun 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score

85.78 of 100Reported as group

Quality

74.39

Promoting interoperability

100

Improvement activities

40

Cost

78.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.potter@cernerdirect.coxhealth.com

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.

• Lester E Cox Medical Centers

  • Hospitalist Physician
  • Springfield, MO
  • NPI 1902969272
  Medicare reassignment Care Compare group NPD
• Cox Barton County Hospital

  • Emergency Medicine Physician
  • Lamar, MO
  • NPI 1174166177
  Medicare reassignment NPD
• Cox-Monett Hospital, Inc.

  • Emergency Medicine Physician
  • Monett, MO
  • NPI 1669687125
  Medicare reassignment NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  Medicare reassignment NPD
• Skaggs Community Hospital Association

  • Rural Health Clinic/Center
  • Forsyth, MO
  • NPI 1861423683

  Family Medicine

  Medicare reassignment NPD
• Lester E Cox Medical Centers

  • Geriatric Medicine (Internal Medicine) Physician
  • Springfield, MO
  • NPI 1356068605

  Family Medicine

  NPD
• Lester E Cox Medical Centers

  • Hospitalist Physician
  • Springfield, MO
  • NPI 1477998169
  NPD
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD
• Skaggs Community Hospital Association

  • Family Medicine Physician
  • Branson, MO
  • NPI 1356291298
  NPD
• Skaggs Community Hospital Association

  • Hospitalist Physician
  • Branson, MO
  • NPI 1477941862
  NPD
• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  NPD (past)

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

• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1821403593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-7728",
            "fax_number": "417-269-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658021917",
            "country_code": "US",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SAMANTHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015026152",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014019168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821403593",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Wallace
• Kevin D Wallace, DMD PC
• Lacey Jo Wallace, MS, PLPC
• Morgan Dawn Wallace, PA-C
• Nicole Lee Wallace, PTA
• Sherrie K Wallace, MSW, LCSW
• Wayne Wallender, D.O.
• Scott Winters Wallentine, DPT
• Taylor Waller
• Nina A Walles-Baldwin, MSW, LCSW

• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.