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

Melissa Ann Wallace, CRNP

Individual provider Family Nurse Practitioner · NPI 1023524501

Melissa Ann Wallace, CRNP is a Nurse Practitioner in State College, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Monument Health Rapid City Hospital Inc, a 561-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

905 University Dr
State College, PA 16801-6626
Phone: (814) 238-8418
Fax: (814) 234-2888
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP018172 (PA)

Record details

NPI number1023524501
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 20, 2017
Last updated in NPPESNovember 7, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Monument Health Rapid City Hospital Inc — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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