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

Laura Ann Wallace, APN

Individual provider Primary Care Nurse Practitioner · NPI 1265737753

Laura Ann Wallace, APN is a Nurse Practitioner in Pilot Knob, Missouri. Qualified in 2010, 16 years ago. Practices with Iron County Hospital District, a 25-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Licensed in
MO
In the registry since
2011
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

301 N Highway 21
Pilot Knob, MO 63663-7862
Phone: (573) 546-8036
Fax: (573) 546-8067
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2010037004 (MO)

Record details

NPI number1265737753
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJanuary 14, 2011
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address301 N Highway 21, Pilot Knob, MO 63663-7862

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Iron County Hospital District — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount