Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cherry Wallace

Individual provider Gerontology Nurse Practitioner · NPI 1013886456

Cherry Wallace is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2025, 1 year ago. Practices with Signature Medical Group Inc, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

425 N New Ballas Rd Ste 203
Saint Louis, MO 63141-6848
Phone: (314) 872-3104
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2025047590 (MO)

Record details

NPI number1013886456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Signature Medical Group Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $272 15 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mercy Hospital St Louis Hospital · Saint Louis, MO · listed as Mercy Hospitals East Communities Mercy Hospital St Louis

Colleagues at Signature Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 40 clinicians in the practice; 12 are shown here.

Other providers in Saint Louis