Jordan Wallace, MD
NPI 1780210658 · Pediatrics Physician · Snoqualmie, WA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Wallace, MD is a Pediatrics Physician provider in Snoqualmie, WA (NPI 1780210658).
Provider details
- NPI number
- 1780210658
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61570069 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2020-03-22
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Frequently asked questions
- What is Jordan Wallace's NPI number?
- Jordan Wallace's National Provider Identifier (NPI) is 1780210658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Wallace's specialty?
- Jordan Wallace is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan Wallace located?
- Jordan Wallace's practice location on file with NPPES is 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200.
- What is Jordan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jordan Wallace is (425) 831-2300.
- Does Jordan Wallace accept Medicare?
- Jordan Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Wallace's NPI active?
- Yes — Jordan Wallace's NPI (1780210658) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.