Tyler J. Wallace, PMHNP-BC
NPI 1114700739ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Paducah, KY
Nurse Practitioner, Psych/Mental Health (PMHNP-BC) with Mercy Health Physicians Kentucky Specialty Care LLC, practicing in Paducah, Kentucky. Part D covered 57 prescriptions written in 2024, 74% of them generic. Biogen, Inc. reported $86.40 in payments in 2025, mostly food and beverage. Lists Mercy Health - Lourdes Hospital as a hospital affiliation.
Overview
| NPI | 1114700739 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP-BC |
| Sole proprietor | Yes |
| NPI issued | Aug 16, 2023 |
| Last updated in NPPES | Nov 14, 2024 |
| Certified by provider | Nov 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 4005513 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 57 · 59 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $16,773 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Mercy Health Physicians Kentucky Specialty Care LLCPaducah, KY · 151 clinicians
Hospital affiliation
- Mercy Health - Lourdes HospitalPaducah, KY
Industry payments (Open Payments)
- 2025$86.40 · 1 payment from 1 company
- 2024$356.64 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biogen, Inc. | $86.40 | 1 |
What the 2025 payments were for
- Food and Beverage$86.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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