Jeffrey Wallace
NPI 1619392974 · Physician Assistant · Fort Riley, KS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Wallace is a Physician Assistant provider in Fort Riley, KS (NPI 1619392974).
Provider details
- NPI number
- 1619392974
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
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
12 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2014-02-24
- Last updated
- 2014-02-24
Frequently asked questions
- What is Jeffrey Wallace's NPI number?
- Jeffrey Wallace's National Provider Identifier (NPI) is 1619392974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Wallace's specialty?
- Jeffrey Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeffrey Wallace located?
- Jeffrey Wallace's practice location on file with NPPES is 600 Caisson Hill Rd, Fort Riley, KS 66442-7037.
- What is Jeffrey Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Wallace is (785) 239-7000.
- Does Jeffrey Wallace accept Medicare?
- Jeffrey Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Wallace's NPI active?
- Yes — Jeffrey Wallace's NPI (1619392974) is active in the NPPES registry as of the last update on 2014-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.