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

MS. Paula M. Wallace, PA

Individual provider Surgical Physician Assistant · NPI 1689698490

MS. Paula M. Wallace, PA is a Physician Assistant in Monroe, Louisiana. Qualified in 2003, 23 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
23
Licensed in
LA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

312 Grammont St Ste 401
Monroe, LA 71201-7403
Phone: (318) 966-1809
Fax: (318) 966-1810
Show map & directions

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

Additional practice locations (1)

  • 212 Walnut St, Monroe, LA 71201-6707 — (318) 323-1809

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence P.A.A10590.RX (LA)

Record details

NPI number1689698490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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