LAURIE A. WALLACE (APRN) – Family Nurse Practitioner, NPI 1033542170

LAURIE A. WALLACE (APRN) is a healthcare provider. based in Lakeside park, Kentucky. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 15386 (OH). The NPI Number for LAURIE A. WALLACE (APRN) is 1033542170

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE A. WALLACE (APRN)
NPI
1033542170
Phone
(859) 341-6255
Address
2156 CHAMBER CENTER DR
Enumeration Date
13 August 2013
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593416255
Graduation Year
2013 (13 years ago)
PAC ID
5092943472
Group Practice PAC ID
7012197619
Professional Enrollment ID
I20140109001034
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for LAURIE A. WALLACE (APRN)

  • 2156 CHAMBER CENTER DR

    LAKESIDE PARK, KY 410171669

    Phone: (859) 341-6255

    Fax: (859) 547-1197

    Type: Mailing

  • 7410 BEECHMONT AVE

    CINCINNATI, OH 452554102

    Phone: (513) 231-4591

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41017)

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Provider's Procedures

LAURIE A. WALLACE (APRN) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKY81002Urinalysis, manual test4541

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012197619View full group profile
NameSpecialtyState
-KY
Pediatric Medicine, Internal MedicineOH
-KY
Nurse PractitionerOH
P S Y C H I A T R YOH
-KY
Family PracticeKY
Nurse PractitionerKY
Family PracticeOH
-KY

Reviews

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Frequently asked questions

What NPI should I save for LAURIE A. WALLACE (APRN)?
Save NPI 1033542170 if you need a stable reference for LAURIE A. WALLACE (APRN).
Is LAURIE A. WALLACE (APRN) currently active in the NPI registry?
CMS-published data lists LAURIE A. WALLACE (APRN) as an active registrant.
What kind of provider is LAURIE A. WALLACE (APRN)?
The page reflects Family Nurse Practitioner for LAURIE A. WALLACE (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for LAURIE A. WALLACE (APRN)?
The page summarizes Lakeside Park, Kentucky for LAURIE A. WALLACE (APRN); expand the address list for detail.
How can I contact LAURIE A. WALLACE (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.