Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chiara Wallace

Individual provider Family Nurse Practitioner · NPI 1073243481

Chiara Wallace is a Nurse Practitioner in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2023, 3 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

961 E Crandall Ave
Salt Lake City, UT 84106-2107
Phone: (612) 770-9037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11624749-4405 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073243481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2022
Last updated in NPPESDecember 8, 2024
Certification dateDecember 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salt Lake City