Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144262197 Individual Practitioner Female Practitioner

Laura Wallace , ARNP

Nurse Practitioner • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Laura Wallace, ARNP is a certified Nurse Practitioner practicing in Clearwater, FL. With approximately 21 years of clinical experience since graduating from University Of South Florida College Of Medicine in 2005, Laura Wallace delivers high-quality medical care to the local community at 455 PINELLAS ST.

Laura Wallace does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

455 Pinellas St
Suite #400

Clearwater, FL 337563354

Telephone 7274451911
Fax 7274451986
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

2005

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clearwater, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +7.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
97 Specialists

Practicing in Clearwater, FL (8990 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (21 Years) 21 Yrs
Clearwater Specialty Average (13.5 Years) 13.5 Yrs

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL RN2529872

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
308800600 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelly Martin , APRN

Nurse Practitioner - Family

NPI 1033939764

Advanced Practice Registered Nurse

Caezar Manuel , RN

Registered Nurse

NPI 1043569031

Registered Nurse

Dr. David Dieterich , DO

Internal Medicine - Cardiovascular Disease

NPI 1083603591

Doctor of Osteopathic Medicine (D.O.)

Olivia O'berry , PA-C

Physician Assistant

NPI 1093123457

Physician Assistant (Certified)

Dr. Juan Garcia Morell , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1154571560

Doctor of Medicine (M.D.)

Dr. Paul Phillips , MD

Internal Medicine - Cardiovascular Disease

NPI 1194716431

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2012

Registered at 455 PINELLAS ST, SUITE #400, CLEARWATER, FL 337563354 (Tel: 7274451911)

📍
Updated Business Mailing Address October 26, 2012

Registered at 1717 TALL PINE CIR, SAFETY HARBOR, FL 346955204

👤
Provider Name / Credentials Updated October 26, 2012

Recorded as LAURA WALLACE, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2012

Nurse Practitioner (License #RN2529872 in FL)

🟢
Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144262197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: October 26, 2012
Sole Proprietor: No

Mailing Address

1717 Tall Pine Cir

Safety Harbor, FL 346955204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.