Kathryn Mary Wallace , APRN, BC
Nurse Practitioner • Portage, IN
Professional Overview & Biography Verified Profile Summary
Kathryn Wallace, APRN, BC is a registered healthcare professional specializing in Nurse Practitioner in Portage, IN. Practice services are available at 2640 HAMSTROM RD under active NPI credentials.
Practice Location & Contact Primary Location
2640 Hamstrom Rd
Portage, IN 463683832
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Portage, IN
Practicing in Portage, IN (2620 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363L00000X
(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
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 2640 HAMSTROM RD, PORTAGE, IN 463683832 (Tel: 2197624423)
Registered at 2640 HAMSTROM RD, PORTAGE, IN 463683832 (Tel: 2197624423)
Recorded as KATHRYN WALLACE, APRN, BC
Nurse Practitioner (License #71000473A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2640 Hamstrom Rd
Portage, IN 463683832
Phone: 2197624423
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