APRIL D WALLACE (PSYD) – Psychologist, NPI 1629177480

APRIL D WALLACE (PSYD) is a healthcare provider. based in Saint croix falls, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 2189-057 (WI). The NPI Number for APRIL D WALLACE (PSYD) is 1629177480

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
APRIL D WALLACE (PSYD)
NPI
1629177480
Phone
(715) 483-3221
Address
235 E STATE ST
Enumeration Date
21 September 2006
Last Update Date
2 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
2668502162
Group Practice PAC ID
9335032184
Professional Enrollment ID
I20100609000937
Address ID
WI540244117ST235XXSTXX300

Contacts

Secure Messaging
awallace207930@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for APRIL D WALLACE (PSYD)

  • 235 E STATE ST

    SAINT CROIX FALLS, WI 540244117

    Phone: (715) 483-3221

    Fax: (715) 483-0507

    Type: Mailing

  • 204, South Adams Street, St. Croix Falls, Polk County, Wisconsin, 54024, United States

    SAINT CROIX FALLS, WI 540249449

    Phone: (715) 483-3221

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100609000937IClinical PsychologistWITBD

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.

Verify on CMS Revalidation Lookup Tool

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 54024)

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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: 9335032184View full group profile
NameSpecialtyState
Physician AssistantMN
-WI
-IA
Physician AssistantMN
-MN
Cardiovascular Disease (Cardiology)MN
Internal Medicine, Pediatric MedicineMN
-WI
-WI
Cardiac ElectrophysiologyMN

Reviews

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Frequently asked questions

Is APRIL D WALLACE (PSYD) listed with a National Provider Identifier?
Yes — APRIL D WALLACE (PSYD) has NPI 1629177480 on file in the registry.
Is APRIL D WALLACE (PSYD) shown as active in public data?
Registry records indicate APRIL D WALLACE (PSYD) maintains an active NPI.
What kind of doctor is APRIL D WALLACE (PSYD)?
APRIL D WALLACE (PSYD) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is APRIL D WALLACE (PSYD) located near Saint Croix Falls?
APRIL D WALLACE (PSYD) currently maps to Saint Croix Falls, Wisconsin in this extract.
Does APRIL D WALLACE (PSYD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.