Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Ryan Myles Wallace

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1548695075

Dr. Ryan Myles Wallace practises Psychiatry in Anchorage, Alaska. Graduated from University of Washington School of Medicine in 2014, 12 years ago. Practices with Providence Health and Services- Washington, a 220-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alaska and Connecticut.

Years since qualifying
12
Trained at
University of Washington School of Medicine
Licensed in
AK, CT
In the registry since
2013
Specialties on file
4
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Practice location Address checks out

3760 Piper St Ste 1108
Anchorage, AK 99508-4683
Phone: (907) 212-6900
Fax: (907) 212-6936
Show map & directions

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

Additional practice locations (3)

  • 1201 E 36th Ave, Anchorage, AK 99508-4372 — (907) 562-9229
  • 55 Lock St, New Haven, CT 06511 — (203) 432-0290
  • 365 Montauk Ave, New London, CT 06320-4700 — (860) 442-0711

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 158491 (AK)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 158491 (AK)
Psychiatry Physician Taxonomy 2084P0800X · Licence 55490 (CT)
Neurology Physician Taxonomy 2084N0400X · Licence 55490 (CT)

Record details

NPI number1548695075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2013
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Providence Health And Services- Washington — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 1,602 a service is one billed item, such as a visit, a test or a procedure
Average patient age58

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Providence Health and Services- Washington

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 220 clinicians in the practice; 12 are shown here.

Other providers in Anchorage