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

Madelyn Wallace, PA-C

Individual provider Physician Assistant · NPI 1952288219

Madelyn Wallace, PA-C is a Physician Assistant in Upper Chichester, Pennsylvania. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4015 Chichester Ave
Upper Chichester, PA 19061-3138
Phone: (610) 494-4422
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952288219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESOctober 12, 2025
Certification dateOctober 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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