Mikaila Wallace, DO
NPI 1023687217 · Family Medicine Physician · Maryville, MO
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mikaila Wallace, DO is a Family Medicine Physician provider in Maryville, MO (NPI 1023687217).
Provider details
- NPI number
- 1023687217
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 2024030678 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 117 | 31 |
| Levothyroxine Sodium | 81 | 20 |
| Lisinopril | 69 | 22 |
| Amlodipine Besylate | 60 | 21 |
| Rosuvastatin Calcium | 57 | 28 |
| Metformin Hcl | 55 | 16 |
| Gabapentin |
Practice location
Mailing address
Additional practice locations (1)
- 4600 Valley Rd Ste 200Lincoln, NE 68510-4882Phone: (402) 327-6921
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Mikaila Wallace's NPI number?
- Mikaila Wallace's National Provider Identifier (NPI) is 1023687217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikaila Wallace's specialty?
- Mikaila Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mikaila Wallace located?
- Mikaila Wallace's practice location on file with NPPES is 2016 S Main St, Maryville, MO 64468-2655.
- What is Mikaila Wallace's phone number?
- The practice phone number listed in the NPPES registry for Mikaila Wallace is (660) 562-2525.
- Does Mikaila Wallace accept Medicare?
- Mikaila Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mikaila Wallace's NPI active?
- Yes — Mikaila Wallace's NPI (1023687217) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.