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

Donna D Wallace, ANP

Individual provider Nurse Practitioner · NPI 1952321200

Donna D Wallace, ANP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 1996, 30 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
30
Licensed in
MN
In the registry since
2006
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Practice location Address checks out

920 E 28th St Ste 700
Minneapolis, MN 55407-1139
Phone: (612) 863-9062
Fax: (612) 863-9252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R1248670 (MN)

Record details

NPI number1952321200
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address920 E 28th St, Suite 700, Minneapolis, MN 55407-1139

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Minneapolis