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

Lisa Marie Wallace, NP

Individual provider Adult Health Nurse Practitioner · NPI 1134438286

Lisa Marie Wallace, NP is a Nurse Practitioner in Muncie, Indiana. Qualified in 2008, 18 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2010
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2401 W University Ave
Muncie, IN 47303-3428
Phone: (765) 281-2030
Show map & directions

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

Additional practice locations (2)

  • 831 N Theatre Drive, Marion, IN 46952-1701 — (765) 660-7800
  • 2525 W University Ave Ste 300, Muncie, IN 47303-3432 — (765) 289-5420

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71003281A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71003281A (IN)
Oncology Clinical Nurse Specialist Taxonomy 364SX0200X · Licence 71003281A (IN)

Record details

NPI number1134438286
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 6, 2010
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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