Stacy Wallace, NP
NPI 1205843422 · Pediatric Nurse Practitioner · San Antonio, TX
Stacy Wallace, NP is a Pediatric Nurse Practitioner provider in San Antonio, TX (NPI 1205843422).
Provider details
- NPI number
- 1205843422
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 624860 (TX)
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
19 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
- 2006-08-01
- Last updated
- 2010-01-27
Frequently asked questions
- What is Stacy Wallace's NPI number?
- Stacy Wallace's National Provider Identifier (NPI) is 1205843422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Wallace's specialty?
- Stacy Wallace is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacy Wallace located?
- Stacy Wallace's practice location on file with NPPES is 1702 N Alamo St, San Antonio, TX 78215-1201.
- What is Stacy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Stacy Wallace is (210) 224-1823.
- Is Stacy Wallace's NPI active?
- Yes — Stacy Wallace's NPI (1205843422) is active in the NPPES registry as of the last update on 2010-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.