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Dr. Mary Anderson Wallace, M.D.

Hospitalist Physician in Colorado Springs, CO · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215109228

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Registry record

Entity type Individual (Type 1)
Name Dr. Mary Anderson Wallace
Credential M.D.
Sex Female
Practice address 1400 E Boulder St, Colorado Springs, CO, 80909
Enumeration date Mar 31, 2008
Last updated in NPPES Sep 27, 2021

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 49780 (CO) Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License DR.0049780 (CO) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
029236 Other CO KAISER COMMERCIAL NUMBER
94831076 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mary Wallace?
The National Provider Identifier (NPI) for Mary Wallace is 1215109228, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mary Wallace practice?
The practice location on file with NPPES is in Colorado Springs, CO. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-27.