Tyler Wallace, PMHNP-BC
NPI 1114700739 · Psychiatric/Mental Health Nurse Practitioner · Paducah, KY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Wallace, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Paducah, KY (NPI 1114700739).
Provider details
- NPI number
- 1114700739
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4005513 (KY)
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 tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$357 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-16
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Frequently asked questions
- What is Tyler Wallace's NPI number?
- Tyler Wallace's National Provider Identifier (NPI) is 1114700739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Wallace's specialty?
- Tyler Wallace is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tyler Wallace located?
- Tyler Wallace's practice location on file with NPPES is 1532 Lone Oak Rd Ste 345, Paducah, KY 42003-7942.
- What is Tyler Wallace's phone number?
- The practice phone number listed in the NPPES registry for Tyler Wallace is (270) 444-2250.
- Does Tyler Wallace accept Medicare?
- Tyler Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Wallace's NPI active?
- Yes — Tyler Wallace's NPI (1114700739) is active in the NPPES registry as of the last update on 2024-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.