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Active NPI 1821342106 Individual Practitioner Female Practitioner

Heather A Wallace , DSC, PA-C

Physician Assistant - Surgical • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Wallace, DSC, PA-C is a certified Physician Assistant - Surgical practicing in Duluth, MN. With approximately 14 years of clinical experience since completing medical education in 2012, Heather Wallace delivers high-quality medical care to the local community at 915 E 1ST ST.

Heather Wallace maintains professional affiliations with Urgent Specialty Associates Pllc, St. Luke'S Hospital Of Duluth, St Josephs Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of blood clot and portion of artery of neck. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 E 1st St

Duluth, MN 558052107

Telephone 2182496450
Associated Practice Facility / Clinic
🏢 St. Luke's Hospital Of Duluth Facility NPI 1003860792

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Duluth, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +2.3 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Duluth, MN (229 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (14 Years) 14 Yrs
Duluth Specialty Average (11.7 Years) 11.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
21 21 $85.86 $54.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 15 $131.00 $80.49

Medical Specialties & State Licenses

CMS Verified: 2025-12-10
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License MN 15336

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License VA 0110004235

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NY 029464

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NJ 25MP00742200

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IN 10004010A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 50.007882RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA61359713

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License IL 085.010935

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300077904 (IN)
Commercial Insurance / Payer ID Medicare Ptan
233690187 (IN)

Hospital & Practice Group Affiliations

St Josephs Medical Pc

301 Prospect Ave, Syracuse, NY 132031807

Urgent Specialty Associates Pllc

7101 Jahnke Rd, Richmond, VA 232254017

Phone: 8044830000

St Josephs Medical Pc

5100 W Taft Rd, Liverpool, NY 130884841

St. Luke's Hospital Of Duluth

1000 E 1st St, Duluth, MN 558052297

Phone: 2182496450

United Medical Associates Pc

33 -57 Harrison St, Johnson City, NY 137902107

Phone: 6077636622

Secondary Practice Locations

3000 Arlington Ave Ste 2c

Toledo, OH 436142595

Phone: 4193833759

104 Union Ave

Syracuse, NY 132031843

Phone: 3154240490

620 John Paul Jones Cir

Portsmouth, VA 237082111

Phone: 7579535000

5486 Indian River Rd

Virginia Beach, VA 234645365

Phone: 7574242490

1100 Goethals Dr Ste E

Richland, WA 993523301

Phone: 5099423095

33-57 Harrison St

Johnson City, NY 137902107

Phone: 6077636311

301 Prospect Ave

Syracuse, NY 132031807

Phone: 3154485331

7101 Jahnke Rd

Richmond, VA 232254017

Phone: 8044830000

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 3179620582

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Jarrod Buresh , DO

Surgery - Vascular Surgery

NPI 1326071259

Doctor of Osteopathic Medicine (D.O.)

Kathleen Madden , RN, CNP

Nurse Practitioner - Family

NPI 1518946318

Registered Nurse, Certified Nurse Practitioner

Lynsey Rangel

Surgery - Vascular Surgery

NPI 1851736185

Career & Practice History Timeline

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

25 Historical Events
📍
Updated Practice Location December 10, 2025

Registered at 915 E 1ST ST, DULUTH, MN 558052107 (Tel: 2182496450)

📍
Updated Business Mailing Address December 10, 2025

Registered at 3066 SEARS RD, SUGARCRK TWP, OH 453707726

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2025

Physician Assistant (License #PA61359713 in WA)

📍
Updated Business Mailing Address February 01, 2024

Registered at 53 RENAISSANCE WOODS CT, XENIA, OH 453858703

📍
Updated Practice Location September 28, 2023

Registered at 1701 N SENATE BLVD, INDIANAPOLIS, IN 462021239 (Tel: 3179620582)

📍
Updated Business Mailing Address September 28, 2023

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2023

Physician Assistant (License #0110004235 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2023

Physician Assistant (License #PA61359713 in WA)

📍
Updated Practice Location January 31, 2023

Registered at 301 PROSPECT AVE, SYRACUSE, NY 132031807 (Tel: 3154485331)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2023

Physician Assistant (License #0110004235 in VA)

📍
Updated Practice Location November 03, 2022

Registered at 5486 INDIAN RIVER RD, VIRGINIA BEACH, VA 234645365 (Tel: 7574242490)

👤
Provider Name / Credentials Updated September 16, 2021

Recorded as HEATHER WALLACE, DSC., PA-C

📍
Updated Practice Location April 06, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579535000)

📍
Updated Business Mailing Address April 06, 2021

Registered at NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONE CIRCLE, PORTSMOUTH, VA 23708

NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2017

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109 (Tel: 7037841630)

📍
Updated Business Mailing Address November 06, 2017

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109 (Tel: 7037841630)

👤
Provider Name / Credentials Updated November 06, 2017

Recorded as HEATHER WALLACE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Physician Assistant

NPI Profile Active July 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2015

Registered at 3399 STRAUSS AVE, BLDG 901 STE 219, INDIAN HEAD, MD 206405164 (Tel: 3017445026)

📍
Updated Business Mailing Address July 06, 2015

Registered at 3399 STRAUSS AVE, BLDG 901 STE 219, INDIAN HEAD, MD 206405164 (Tel: 3017445026)

👤
Provider Name / Credentials Updated July 06, 2015

Recorded as HEATHER WALLACE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821342106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2012
Last Update: December 10, 2025
Sole Proprietor: No

Mailing Address

3066 Sears Rd

Sugarcrk Twp, OH 453707726

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.