Skip to content

Maureen Mary Wallace, PA-C

NPI 1073559399ActiveIndividual· Physician Assistant, Medical· Show Low, AZ

Physician Assistant, Medical (PA-C) with Summit Healthcare Association, practicing in Show Low, Arizona. 295 Medicare patients in 2024, $41,111 paid; nearly all of their 582 Part D prescriptions were generic (92%). Astrazeneca Pharmaceuticals LP was the largest of 21 companies reporting payments in 2025, $1,015 in all, mostly food and beverage. Lists Summit Healthcare Regional Medical Center and 1 other hospital as hospital affiliations.

Overview

NPI1073559399
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 22, 2006
Last updated in NPPESJun 14, 2023
Certified by providerJun 14, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X3191AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (AZ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients295
Services billed725 across 4 procedure codes
Paid by Medicare$41,111

Part D prescriptions in 2024

Prescriptions (claims)582 · 1,025 30-day fills
Patients181
Total drug cost$54,980
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2004
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,015 · 40 payments from 21 companies
  • 2024$891.54 · 38 payments from 19 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$915.19 · 39 payments
  • Education$99.99 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in Show Low

All Physician Assistant, Medical providers in Arizona →