Andrea Lynn Wallace, M.S.
NPI 1396819884ActiveIndividual· Audiologist· Stockton, CA
Audiologist (M.S.) in Stockton, California, licensed in CA, with an NPI issued in November 2006. Enrolled in Medicare as practitioner - qualified audiologist. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1396819884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. |
| Sole proprietor | Yes |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Feb 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AU 2352 | CA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in California, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Andrea Yvette Wallace · Health Care Aide | 1128a1 | Jan 20, 2010 | Los Angeles, CA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (CA) |
|---|
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