Kayla June Wallace, NP-C, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A119504 Issued in IA

Practice address

1200 N 7TH St
Chariton, IA 50049-1210

Phone

(641) 774-8103

NPI assigned

Jan 21, 2015

Last updated

Jan 21, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IA

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lucas County Health CenterGroup PAC ID 8921916792, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lucas County Health Center Hospital, Chariton, IA, CCN 161341

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwallace556459@direct.unitypoint.org

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

• Lucas County Health Center

  • Critical Access Hospital
  • Chariton, IA
  • NPI 1588636351
  Medicare reassignment Care Compare group NPD
• Lucas County Heatlh Center

  dba Lucas County Health Center Surgical Group

  • Surgery Physician
  • Chariton, IA
  • NPI 1003210824
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Lucas County Health Center

  dba Lucas County Health Center Medical Clinic

  • Rural Health Clinic/Center
  • Chariton, IA
  • NPI 1538466842
  NPD (past)

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

• Lucas County Health Center

  • Critical Access Hospital
  • Chariton, IA
  • NPI 1588636351
  Care Compare affiliation

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1891184388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KAYLA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A119504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney R Stream, DDS
• Philip Dewain Sundquist, M.D.
• Surgical Clinic of Southern Iowa, PC
• Tyson Tanner, DMD
• Kandy Thomas, DDS
• Audrey Marie Wheeler, M.S.

• Family Nurse Practitioner in Chariton, IA
• Providers in Chariton, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.