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

Susan You Wallace, PA-C

Individual provider Physician Assistant · NPI 1588226179

Susan You Wallace, PA-C is a Physician Assistant in Tempe, Arizona. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2034 E Southern Ave Ste D
Tempe, AZ 85282-7511
Phone: (480) 923-6200
Fax: (602) 419-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7627 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7627 (AZ)

Record details

NPI number1588226179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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