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

Dr. Heather A Wallace, DSC, PA-C

Individual provider Surgical Physician Assistant · NPI 1821342106

Dr. Heather A Wallace, DSC, PA-C is a Physician Assistant in Duluth, Minnesota. Qualified in 2012, 14 years ago. Practices with St Luke's Hospital of Duluth, a 413-clinician group, works from 10 locations and accepts Medicare assignment. Licensed in Illinois, Indiana, Minnesota and New Jersey and 4 more.

Years since qualifying
14
Licensed in
IL, IN, MN, NJ, NY, OH
In the registry since
2012
Specialties on file
8
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

915 E 1st St
Duluth, MN 55805-2107
Phone: (218) 249-6450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-0582
  • 33-57 Harrison St, Johnson City, NY 13790-2107 — (607) 763-6311
  • 301 Prospect Ave, Syracuse, NY 13203-1807 — (315) 448-5331
  • 104 Union Ave, Syracuse, NY 13203-1843 — (315) 424-0490
  • 3000 Arlington Ave Ste 2c, Toledo, OH 43614-2595 — (419) 383-3759
  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 — (757) 953-5000
  • 7101 Jahnke Rd, Richmond, VA 23225-4017 — (804) 483-0000
  • 5486 Indian River Rd, Virginia Beach, VA 23464-5365 — (757) 424-2490
  • 1100 Goethals Dr Ste E, Richland, WA 99352-3301 — (509) 942-3095

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15336 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA61359713 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 0110004235 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 029464 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00742200 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 10004010A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 50.007882RX (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085.010935 (IL)

Record details

NPI number1821342106
Entity typeIndividual (Type 1)
GenderFemale
Credentials DSC , PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St. Luke'S Hospital Of Duluth — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Duluth