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

Michelle Renee Wallace, NP

Individual provider Nurse Practitioner · NPI 1568232676

Michelle Renee Wallace, NP is a Nurse Practitioner in Rochester, Minnesota. Qualified in 2023, 3 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Minnesota.

Years since qualifying
3
Licensed in
IN, MN
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 — (317) 621-4657

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13499 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71014833A (IN)

Record details

NPI number1568232676
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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