Cherry Wallace
NPI 1013886456 · Gerontology Nurse Practitioner · Saint Louis, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cherry Wallace is a Gerontology Nurse Practitioner provider in Saint Louis, MO (NPI 1013886456).
Provider details
- NPI number
- 1013886456
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2025047590 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-03
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Cherry Wallace's NPI number?
- Cherry Wallace's National Provider Identifier (NPI) is 1013886456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cherry Wallace's specialty?
- Cherry Wallace is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cherry Wallace located?
- Cherry Wallace's practice location on file with NPPES is 425 N New Ballas Rd Ste 203, Saint Louis, MO 63141-6848.
- What is Cherry Wallace's phone number?
- The practice phone number listed in the NPPES registry for Cherry Wallace is (314) 872-3104.
- Does Cherry Wallace accept Medicare?
- Cherry Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cherry Wallace's NPI active?
- Yes — Cherry Wallace's NPI (1013886456) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.