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

Emily Anne Wallace

Individual provider Family Nurse Practitioner · NPI 1902457120

Emily Anne Wallace is a Nurse Practitioner in Round Rock, Texas. Qualified in 2019, 7 years ago. Practices with Austin Geriatric Specialists PLLC, a 61-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

401 Oakwood Blvd
Round Rock, TX 78681-4067
Phone: (512) 388-7494
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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 AP143187 (TX)

Record details

NPI number1902457120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2019
Last updated in NPPESSeptember 28, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Austin Geriatric Specialists Pllc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Round Rock