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

Grant Meyer Wallace

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1831516491

Grant Meyer Wallace is a Cardiac Electrophysiology in Lincoln, Nebraska. Graduated from University of Nebraska College of Medicine in 2014, 12 years ago. Practices with Integrated Cardiology Group LLC, a 78-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
12
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2014

Practice location Address checks out

1600 S 48th St
Lincoln, NE 68506-1283
Phone: (402) 483-3333
Show map & directions

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

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 35718 (NE)

Record details

NPI number1831516491
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2014
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address700 Childrens Dr, Columbus, OH 43205-2664

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Integrated Cardiology Group Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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