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

Madeline Wallace, PA-C

Individual provider Physician Assistant · NPI 1649854456

Madeline Wallace, PA-C is a Physician Assistant in Evans, Colorado. Graduated from University of Texas Southwestern Medical School at Dallas in 2020, 6 years ago. Practices with Sunrise Community Health, a 51-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
CO
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2930 11th Ave
Evans, CO 80620-1011
Phone: (970) 353-9403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6761 (CO)

Record details

NPI number1649854456
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2020 (6 years in practice)
Group practice Sunrise Community Health — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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