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Active NPI 1013656990 Individual Practitioner Female Practitioner

Miata Wallace , PA

Physician Assistant • Lincoln, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Miata Wallace, PA is a certified Physician Assistant practicing in Lincoln, NE. With approximately 4 years of clinical experience since completing medical education in 2022, Miata Wallace delivers high-quality medical care to the local community at 1500 S 58TH ST STE 800.

Miata Wallace is affiliated with Nebraska Pulmonary Specialties Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 S 58th St Ste 800

Lincoln, NE 685061407

Telephone 4024838600
Fax 4024838689
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lincoln, NE

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
300 Specialists

Practicing in Lincoln, NE (1366 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (4 Years) 4 Yrs
Lincoln Specialty Average (10.2 Years) 10.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
123 109 $121.55 $98.91
99213 Established patient office or other outpatient visit, typically 15 minutes
22 22 $85.39 $70.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 15 $70.32 $61.16

Medical Specialties & State Licenses

CMS Verified: 2025-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 2760

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.

Hospital & Practice Group Affiliations

Nebraska Pulmonary Specialties Llc

2300 S 16th St, Lincoln, NE 685023704

Phone: 4024751011

Nebraska Pulmonary Specialties Llc

1600 S 48th St, Lincoln, NE 685061200

Phone: 4024833333

Nebraska Pulmonary Specialties Llc

1500 S 48th St, Lincoln, NE 685061200

Phone: 4024838600401

Nebraska Pulmonary Specialties Llc

5401 S St, Lincoln, NE 685062150

Phone: 4024133000

Practice Associates & Co-Workers

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

39 Associated Practitioners
Dr. Jeffrey Jarrett , MD

Internal Medicine - Pulmonary Disease

NPI 1023026663

Doctor of Medicine (M.D.)

Larissa Hunsberger , PA-C

Physician Assistant

NPI 1033567912

Physician Assistant (Certified)

Dr. Kevin Reichmuth , MD

Internal Medicine - Pulmonary Disease

NPI 1073576229

Doctor of Medicine (M.D.)

Michelle Tyser , PA

Physician Assistant

NPI 1083698518

Physician Assistant

Dr. Radu Neamu , MD

Internal Medicine - Pulmonary Disease

NPI 1083895577

Doctor of Medicine (M.D.)

Dr. Matthew Maslonka , MD

Internal Medicine - Pulmonary Disease

NPI 1114330784

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 May 31, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2022

Registered at 1500 S 58TH ST STE 800, LINCOLN, NE 685061407 (Tel: 4024838600)

📍
Updated Business Mailing Address May 31, 2022

Registered at 1500 S 58TH ST STE 800, LINCOLN, NE 685061407 (Tel: 4024838600)

👤
Provider Name / Credentials Updated May 31, 2022

Recorded as MIATA WALLACE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2022

Physician Assistant (License #2760 in NE)

🟢
Initial NPI Registration & Enumeration May 31, 2022

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: 1013656990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2022
Last Update: March 25, 2025
Sole Proprietor: No

Mailing Address

1500 S 58th St Ste 800

Lincoln, NE 685061407

Phone: 4024838600

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.