Stacey Wallace, RN
NPI 1053136317 · Addiction (Substance Use Disorder) Registered Nurse · Kenosha, WI
Stacey Wallace, RN is a Addiction (Substance Use Disorder) Registered Nurse provider in Kenosha, WI (NPI 1053136317).
Provider details
- NPI number
- 1053136317
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 251425-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
- 2024-11-20
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Frequently asked questions
- What is Stacey Wallace's NPI number?
- Stacey Wallace's National Provider Identifier (NPI) is 1053136317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Wallace's specialty?
- Stacey Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Registered Nurse (Nursing Service Providers).
- Where is Stacey Wallace located?
- Stacey Wallace's practice location on file with NPPES is 3825 39th Ave Ste 120, Kenosha, WI 53144-2043.
- What is Stacey Wallace's phone number?
- The practice phone number listed in the NPPES registry for Stacey Wallace is (262) 946-5752.
- Is Stacey Wallace's NPI active?
- Yes — Stacey Wallace's NPI (1053136317) is active in the NPPES registry as of the last update on 2024-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.