Christian Wallace, PA-C
NPI 1477201440 · Physician Assistant · Milwaukee, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Christian Wallace, PA-C is a Physician Assistant provider in Milwaukee, WI (NPI 1477201440).
Provider details
- NPI number
- 1477201440
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5111 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-03-17
- Last updated
- 2022-11-21
- Certified
- 2022-11-21
Frequently asked questions
- What is Christian Wallace's NPI number?
- Christian Wallace's National Provider Identifier (NPI) is 1477201440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Christian Wallace's specialty?
- Christian Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Christian Wallace located?
- Christian Wallace's practice location on file with NPPES is 507 N 17th Street, Milwaukee, WI 53233.
- What is Christian Wallace's phone number?
- The practice phone number listed in the NPPES registry for Christian Wallace is (414) 288-5688.
- Does Christian Wallace accept Medicare?
- Christian Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Christian Wallace's NPI active?
- Yes — Christian Wallace's NPI (1477201440) is active in the NPPES registry as of the last update on 2022-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.