Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366745804 Individual Practitioner Female Practitioner

Kristin Nicole Wallace , MS, OTR

Specialist • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Kristin Wallace, MS, OTR is a registered healthcare professional specializing in Specialist in Appleton, WI. Practice services are available at 1506 S ONEIDA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1506 S Oneida St

Appleton, WI 549151305

Telephone 9207382000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Appleton, WI (312 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kailie Beck , ANPN, FNP-C

Nurse Practitioner - Family

NPI 1003600149

ANPN, Family Nurse Practitioner (Certified)

NPI 1023242641

Doctor of Medicine (M.D.)

Dr. Joseph Chabot , DO

Neurological Surgery

NPI 1033421623

Doctor of Osteopathic Medicine (D.O.)

Samuel Southard , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033561873

Certified Registered Nurse Anesthetist

Adam Weber , OT

Occupational Therapist

NPI 1053565838

Occupational Therapist

Jill Buchinger , APNP

Nurse Practitioner

NPI 1073725222

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2010

Registered at 1506 S ONEIDA ST, APPLETON, WI 549151305 (Tel: 9207382000)

📍
Updated Business Mailing Address December 06, 2010

Registered at 2935 N RANKIN ST, APPLETON, WI 549111518 (Tel: 9206592887)

👤
Provider Name / Credentials Updated December 06, 2010

Recorded as KRISTIN WALLACE, M.S., OTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2010

Specialist

🟢
Initial NPI Registration & Enumeration December 06, 2010

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: 1366745804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2010
Last Update: December 06, 2010
Sole Proprietor: No

Mailing Address

2935 N Rankin St

Appleton, WI 549111518

Phone: 9206592887

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.