Andrea Wallace, M.S.
NPI 1396819884 · Audiologist · Stockton, CA
Enrolled with Medicare as Practitioner - Qualified Audiologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Wallace, M.S. is a Audiologist provider in Stockton, CA (NPI 1396819884).
Provider details
- NPI number
- 1396819884
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- AU 2352 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service 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
- 2006-11-17
- Last updated
- 2022-02-11
Frequently asked questions
- What is Andrea Wallace's NPI number?
- Andrea Wallace's National Provider Identifier (NPI) is 1396819884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Wallace's specialty?
- Andrea Wallace is listed in the NPPES registry with a primary specialty of Audiologist (Speech, Language and Hearing Service Providers).
- Where is Andrea Wallace located?
- Andrea Wallace's practice location on file with NPPES is 7373 West Ln, Stockton, CA 95210-3377.
- What is Andrea Wallace's phone number?
- The practice phone number listed in the NPPES registry for Andrea Wallace is (209) 476-3427.
- Does Andrea Wallace accept Medicare?
- Andrea Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Wallace's NPI active?
- Yes — Andrea Wallace's NPI (1396819884) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.