Brooke Wallace, PA
NPI 1083504740 · Physician Assistant · Henderson, NV
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brooke Wallace, PA is a Physician Assistant provider in Henderson, NV (NPI 1083504740).
Provider details
- NPI number
- 1083504740
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
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
83% 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
- 2025-07-05
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is Brooke Wallace's NPI number?
- Brooke Wallace's National Provider Identifier (NPI) is 1083504740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brooke Wallace's specialty?
- Brooke Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brooke Wallace located?
- Brooke Wallace's practice location on file with NPPES is 1348 Paseo Verde Pkwy Ste 100, Henderson, NV 89012-5723.
- What is Brooke Wallace's phone number?
- The practice phone number listed in the NPPES registry for Brooke Wallace is (702) 847-6252.
- Does Brooke Wallace accept Medicare?
- Brooke Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brooke Wallace's NPI active?
- Yes — Brooke Wallace's NPI (1083504740) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.