Cherry Wallace
Gerontology Nurse Practitioner · Saint Louis, MO
Cherry Wallace is a gerontology nurse practitioner with a practice address in Saint Louis, Missouri, and NPI 1013886456, issued on Nov 3, 2025. Check the license (Missouri 2025047590, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Cherry Wallace
- Primary taxonomy
- Gerontology Nurse Practitioner 363LG0600X
- License number
- 2025047590 MO
Self-reported in NPPES; status is on the state search - Practice location
- 425 N New Ballas RD Ste 203, Saint Louis, MO 63141
- Phone
- (314) 872-3104
- Enumerated
- Nov 3, 2025
- Record last updated
- Nov 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20251120001366); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gerontology nurse practitioner records → All 229 in Missouri → Look up another NPI →
Also registered at 425 N New Ballas RD Ste 203
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hamsa Subramanian, M.D.Allergy & Immunology Physician1154370203
Verify Cherry Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2025047590Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Mercy Clinic East CommunitiesBallwin, MO
- Signature Medical Group IncSaint Louis, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Cherry Wallace among 229 gerontology nurse practitioner records in Missouri
Cherry Wallace is one of 229 gerontology nurse practitioner records with a practice address in Missouri. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 94% of them.
- NPI issued2025 · 94% of these records are older, under 1% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2025 · median 2019 among the 167 with a school on file
- Record last updated2025 · 30% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gerontology Nurse Practitioner providers in Missouri
There are 229 gerontology nurse practitioner records in Missouri.
All 229 in Missouri → Every provider in Saint Louis → Gerontology Nurse Practitioner nationwide →
The 8 gerontology nurse practitioner records with the nearest ZIP codes
- Esen Antakli, AGNPSaint Louis, MO 631411962869990
- Kimberly Besancenez, AGNP-CSaint Louis, MO 631411760091623
- Ellen Carlson, AGNPSaint Louis, MO 631411649782269
- Sarah Collier, NP-CSaint Louis, MO 631411477925774
- Deborah Esker, GNPSaint Louis, MO 631411437177953
- Kathryn Houston, GNPSaint Louis, MO 631411730192006
- Kaylene Inama, AGNPSaint Louis, MO 631411528440450
- Lingxiao Lu, PMHNPSaint Louis, MO 631411083135909
Common questions
What is Cherry Wallace's NPI number?
Cherry Wallace's National Provider Identifier (NPI) is 1013886456, issued on Nov 3, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Cherry Wallace located?
The NPPES record lists a practice address at 425 N New Ballas RD Ste 203, Saint Louis, MO, 63141. Phone: (314) 872-3104. Providers update this record themselves, so call before visiting.
How can I verify Cherry Wallace's license?
NPPES lists Missouri license number 2025047590, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.