Kathryn Wallace, APRN, BC
NPI 1407965320 · Nurse Practitioner · Portage, IN
Kathryn Wallace, APRN, BC is a Nurse Practitioner provider in Portage, IN (NPI 1407965320).
Provider details
- NPI number
- 1407965320
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, BC
- Sex
- Female
- Sole proprietor
- No
- License
- 71000473A (IN)
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
20 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
- 2006-08-30
- Last updated
- 2012-09-17
Frequently asked questions
- What is Kathryn Wallace's NPI number?
- Kathryn Wallace's National Provider Identifier (NPI) is 1407965320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathryn Wallace's specialty?
- Kathryn Wallace is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kathryn Wallace located?
- Kathryn Wallace's practice location on file with NPPES is 2640 Hamstrom Rd, Portage, IN 46368-3832.
- What is Kathryn Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kathryn Wallace is (219) 762-4423.
- Is Kathryn Wallace's NPI active?
- Yes — Kathryn Wallace's NPI (1407965320) is active in the NPPES registry as of the last update on 2012-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.