NPPES file of Aug 9, 2026

Tyler J. Wallace, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Paducah, KY

Tyler J. Wallace, PMHNP-BC is a psychiatric/mental health nurse practitioner with a practice address in Paducah, Kentucky, and NPI 1114700739, issued on Aug 16, 2023. Check the license (Kentucky 4005513, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114700739
Name
Tyler J. Wallace
Credential
PMHNP-BC
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
4005513 KY
Self-reported in NPPES; status is on the state search
Practice location
1532 Lone Oak RD Ste 345, Paducah, KY 42003
Phone
(270) 444-2250
Enumerated
Aug 16, 2023
Record last updated
Nov 14, 2024
Fax
(270) 538-6596
Medicare enrollment
Enrolled (PECOS I20241213003096); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1532 Lone Oak RD Ste 345

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mohamad Abul-Khoudoud, MDPulmonary Disease Physician1396710091
  2. Tracy Bell, LPCCProfessional Counselor1942384375
  3. Portia Davis, LPCCProfessional Counselor1043961063
  4. Svetlana Famina, M.D.Psychiatry Physician1053792515
  5. Allison McCuan, M.A.Professional Counselor1699806091
  6. Catherine Reimnitz, APRN, FNP-C,PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1194112755

Verify Tyler J. Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
    Search for license 4005513
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

94% fewer Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024

57 Medicare Part D claims for 15 beneficiaries, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 26% of claims.

  1. Tyler Wallace57
  2. Specialty average906

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $356.64

5 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 23,362 providers of this specialty with any payment received $1,027.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Tyler Wallace$356.64
  2. Specialty average$1,027.77

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Mercy Health Physicians Kentucky Specialty Care LLCPaducah, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Tyler J. Wallace among 1,222 psychiatric/mental health nurse practitioner records in Kentucky

Tyler J. Wallace, PMHNP-BC is one of 1,222 psychiatric/mental health nurse practitioner records with a practice address in Kentucky. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 68% of them.

  • NPI issued2023 · 68% of these records are older, 23% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2023 · median 2021 among the 790 with a school on file
  • Record last updated2024 · 24% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Nurse Practitioner providers in Kentucky

There are 1,222 psychiatric/mental health nurse practitioner records in Kentucky.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Janet Ambler, APRNPaducah, KY 420031497705073
  2. Katharine Coale, PMHNPPaducah, KY 420031780196121
  3. Vivian KaufmanPaducah, KY 420031023723764
  4. Linda Mays, DNP, PMHNP-BCPaducah, KY 420031457775553
  5. Rachel Pickett, PMHNPPaducah, KY 420031316758956
  6. Catherine Reimnitz, APRN, FNP-C,PMHNP-BCPaducah, KY 420031194112755
  7. Marilee Baker, APRNPaducah, KY 420011548856388
  8. Michelle Blankenship, PMHNP-BCPaducah, KY 420011609663160

Common questions

What is Tyler J. Wallace, PMHNP-BC's NPI number?

Tyler J. Wallace, PMHNP-BC's National Provider Identifier (NPI) is 1114700739, issued on Aug 16, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Tyler J. Wallace, PMHNP-BC located?

The NPPES record lists a practice address at 1532 Lone Oak RD Ste 345, Paducah, KY, 42003. Phone: (270) 444-2250. Providers update this record themselves, so call before visiting.

How can I verify Tyler J. Wallace, PMHNP-BC's license?

NPPES lists Kentucky license number 4005513, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.

How much does Tyler J. Wallace, PMHNP-BC prescribe under Medicare Part D?

In 2024, Tyler J. Wallace, PMHNP-BC had 57 Medicare Part D claims for 15 beneficiaries; the average among psychiatric/mental health nurse practitioner prescribers was 906. Part D covers Medicare prescriptions 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.