Michael Wallace, ARNP
NPI 1194029777 · Adult Health Nurse Practitioner · Minnetonka, MN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Wallace, ARNP is a Adult Health Nurse Practitioner provider in Minnetonka, MN (NPI 1194029777).
Provider details
- NPI number
- 1194029777
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- License
- 7139-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
15 yrs 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
- 2010-12-22
- Last updated
- 2023-03-07
- Certified
- 2020-09-09
Frequently asked questions
- What is Michael Wallace's NPI number?
- Michael Wallace's National Provider Identifier (NPI) is 1194029777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wallace's specialty?
- Michael Wallace is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Wallace located?
- Michael Wallace's practice location on file with NPPES is 9900 Bren Rd E, Minnetonka, MN 55343-9664.
- What is Michael Wallace's phone number?
- The practice phone number listed in the NPPES registry for Michael Wallace is (352) 529-7314.
- Does Michael Wallace accept Medicare?
- Michael Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Wallace's NPI active?
- Yes — Michael Wallace's NPI (1194029777) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.