Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194173443 Individual Practitioner Female Practitioner

Mary Wallace

Case Manager/Care Coordinator • Wenatchee, WA

Professional Overview & Biography Verified Profile Summary

Mary Wallace is a registered healthcare professional specializing in Case Manager/Care Coordinator in Wenatchee, WA. Practice services are available at 627 S ELLIOTT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

627 S Elliott Ave

Wenatchee, WA 988013195

Telephone 5098885646
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Wenatchee, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Wenatchee, WA (2132 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License WA CG60538865

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2091091 (WA)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Patrick Burns

Counselor - Mental Health

NPI 1205284809
NPI 1275082836

COUNSELORAGENCYAFF

Cynthia Davis

Counselor - Mental Health

NPI 1336597699
Daane Hagen

Counselor - Mental Health

NPI 1518315225
Irene Sanchez

Counselor - Mental Health

NPI 1609236280
Andrew Lane

Counselor

NPI 1891243770

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2017

Registered at 627 S ELLIOTT AVE, WENATCHEE, WA 988013195 (Tel: 5098885646)

📍
Updated Business Mailing Address December 07, 2017

Registered at 627 S ELLIOTT AVE, WENATCHEE, WA 988013195 (Tel: 5098885646)

👤
Provider Name / Credentials Updated December 07, 2017

Recorded as MARY WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Case Manager/Care Coordinator (License #CG60538865 in WA)

NPI Profile Active May 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2016

Registered at 627 S ELLIOTT AVE, WENATCHEE, WA 988013195 (Tel: 5098885646)

📍
Updated Business Mailing Address May 27, 2016

Registered at 627 S ELLIOTT AVE, WENATCHEE, WA 988013195 (Tel: 5098885646)

👤
Provider Name / Credentials Updated May 27, 2016

Recorded as MARY WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2016

Community Based Residential Treatment Facility, Mental Illness (License #CG 60538865 in WA)

🟢
Initial NPI Registration & Enumeration May 27, 2016

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: 1194173443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2016
Last Update: December 07, 2017
Sole Proprietor: Yes

Mailing Address

627 S Elliott Ave

Wenatchee, WA 988013195

Phone: 5098885646

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.