Rebecca Wallace, APRN

ActiveIndividual ProviderNurse Practitioner
NPI issued: September 6, 2005

Quick Facts

NPI Number
1104810134
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(801) 261-4988
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1104810134)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 6, 2005)
Data source: CMS NPPES

Provider Overview

REBECCA WALLACE, APRN is a Nurse Practitioner provider based in Salt Lake City, UT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104810134
Provider TypeIndividual Provider
GenderFemale
CredentialAPRN
StatusActive
Enumeration DateSeptember 6, 2005

Practice Location

CitySalt Lake City
StateUT
ZIP Code84106-1466
Phone(801) 261-4988

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateUT

Mailing Address

CitySalt Lake City
StateUT
ZIP Code84106-1466
Phone(801) 261-4988
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104810134 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104810134for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104810134 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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224,221
Nurse Practitioner Providers in the US

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People Also Ask

What is Rebecca Wallace's NPI number?
Rebecca Wallace's NPI number is 1104810134, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Rebecca Wallace's NPI currently active?
Yes, Rebecca Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Rebecca Wallace specialize in?
Rebecca Wallace specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Rebecca Wallace practice?
Rebecca Wallace practices in Salt Lake City, UT 84106-1466.
When was Rebecca Wallace's NPI issued?
Rebecca Wallace's NPI was issued on September 6, 2005.
What is Rebecca Wallace's provider type?
Rebecca Wallace is registered as an Individual Provider under CMS NPI Type 1.