Cassandra Wallace, PNP
NPI 1417354440 · Pediatric Nurse Practitioner · Saint Louis, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cassandra Wallace, PNP is a Pediatric Nurse Practitioner provider in Saint Louis, MO (NPI 1417354440).
Provider details
- NPI number
- 1417354440
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2014038394 (MO)
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
11 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
- 2014-11-19
- Last updated
- 2025-04-17
- Certified
- 2024-08-27
Frequently asked questions
- What is Cassandra Wallace's NPI number?
- Cassandra Wallace's National Provider Identifier (NPI) is 1417354440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cassandra Wallace's specialty?
- Cassandra Wallace is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cassandra Wallace located?
- Cassandra Wallace's practice location on file with NPPES is 1 Childrens Pl, Saint Louis, MO 63110-1002.
- What is Cassandra Wallace's phone number?
- The practice phone number listed in the NPPES registry for Cassandra Wallace is (314) 454-2341.
- Does Cassandra Wallace accept Medicare?
- Cassandra Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cassandra Wallace's NPI active?
- Yes — Cassandra Wallace's NPI (1417354440) is active in the NPPES registry as of the last update on 2025-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.