John Wallace, PA-C
NPI 1487909511 · Physician Assistant · East Jordan, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1487909511
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601006422 (MI)
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 247 | 81 |
| Lisinopril | 151 | 50 |
| Amlodipine Besylate | 110 | 31 |
| Omeprazole | 103 | 35 |
| Gabapentin | 97 | 20 |
| Levothyroxine Sodium | 96 | 24 |
| Fluticasone Propionate | 94 |
Practice location
Mailing address
Additional practice locations (1)
- 6135 Cressy StIndian River, MI 49749-5151Phone: (231) 238-8908Fax: (231) 238-4419
Registry dates
- Enumerated
- 2012-07-15
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.