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

Samantha Wallace, DO

Individual provider Family Medicine Physician · NPI 1821403593

Samantha Wallace, DO is a Family Practice in Springfield, Missouri. Qualified in 2014, 12 years ago. Practices with Lester E Cox Medical Centers, a 243-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3801 S National Ave
Springfield, MO 65807-5210
Phone: (417) 269-7728
Fax: (417) 269-7729
Show map & directions

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

Additional practice locations (2)

  • 525 Branson Landing Blvd Ste 201a, Branson, MO 65616-2052 — (417) 335-7000
  • 1423 N Jefferson Ave, Springfield, MO 65802-1917 — (417) 269-8817

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2015026152 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2014019168 (MO)

Record details

NPI number1821403593
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2014
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing addressPo Box 802843, Kansas City, MO 64180-2843

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lester E Cox Medical Centers — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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