Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Richard Wallace, DNP, APRN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902611882

Matthew Richard Wallace, DNP, APRN, PMHNP-BC is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

1000 S Limestone
Lexington, KY 40506-0007
Phone: (859) 562-7371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 830 S Limestone, Lexington, KY 40536-0582 — (859) 323-2778

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4044992 (KY)

Record details

NPI number1902611882
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , APRN , PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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