What is Misty Wallace's NPI number?

Misty Wallace's National Provider Identifier (NPI) is 1881564714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Misty Wallace's specialty?

Misty Wallace is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Misty Wallace located?

Misty Wallace's practice location on file with NPPES is 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405.

What is Misty Wallace's phone number?

The practice phone number listed in the NPPES registry for Misty Wallace is (208) 552-0855.

Is Misty Wallace's NPI active?

Yes — Misty Wallace's NPI (1881564714) is active in the NPPES registry as of the last update on 2025-11-06.

IndividualActive

Misty Wallace

NPI 1881564714 · Case Manager/Care Coordinator · Idaho Falls, ID

Misty Wallace is a Case Manager/Care Coordinator provider in Idaho Falls, ID (NPI 1881564714).

Provider details

NPI number: 1881564714
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

855 N Capital Ave Ste 1

Idaho Falls, ID 83402-3405

Phone: (208) 552-0855

Street-level locationGet directions

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Mailing address