MRS. MELISSA B WALLACE (WHNP) – Nurse Practitioner, NPI 1497027247
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for MRS. MELISSA B WALLACE (WHNP)
660 S EUCLID AVE
C B 8064
SAINT LOUIS, MO 631101010
Phone: (314) 747-0800
Fax: (314) 747-4019
Type: Mailing
4901 FOREST PARK AVE STE 710
STE 710
SAINT LOUIS, MO 631081402
Phone: (314) 362-4211
Fax: (314) 362-0049
Type: Location
111 SAINT LUKES CENTER DR STE 44B
CHESTERFIELD, MO 630173509
Phone: (143) 576-2424
Fax: (314) 576-2381
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,347.
Total Amount is formed as General ($1,347) + Research ($0) + Ownership ($0) = $1,347.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($212).
Total Amount
$1,347
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,347
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $212 |
| Sage Therapeutics, Inc. | $176 |
| ABBVIE INC. | $145 |
| Myriad Women's Health, Inc. | $102 |
| Evofem Biosciences, Inc. | $92 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-03-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150327002448 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| C H I R O P R A C T I C | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
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