National Provider Identifier

Erin Nicole Wallace, PA-C

Erin Nicole Wallace, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 414-8052.

NPI 1962263814Boston, MAPhysician Assistant

Source: public NPPES record, last updated February 20, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1962263814
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
January 18, 2024
Last Updated
February 20, 2026

Practice Location

  • 725 Albany Street Suite 3A
  • Shapiro Bldg.
  • Boston, MA 02118

Phone: (617) 414-8052

Mailing Address

  • 960 Massachusetts Avenue
  • Fl 2
  • Boston, MA 02118-2690

Specialties

  • Physician Assistant (363A00000X)

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Biography

Erin Wallace, PA-C, is a physician assistant in Boston Medical Center’s Department of Surgery, with a clinical focus in bariatric and minimally invasive surgery. She earned a bachelor’s degree in biology from Capital University and a master’s in physician assistant studies from Ohio Dominican University.

Full Record
NPI
1962263814
Entity Type
Individual
Last Name
Wallace
First Name
Erin
Middle Name
Nicole
Credential
PA-C
Provider Other Last Name
Whisman
Provider Other First Name
Erin
Provider Other Middle Name
Nicole
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
960 Massachusetts Avenue
Mailing Address Line 2
Fl 2
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02118-2690
Mailing Country
US
Practice Street Address
725 Albany Street Suite 3A
Practice Address Line 2
Shapiro Bldg.
Practice City
Boston
Practice State
MA
Practice ZIP Code
02118
Practice Country
US
Practice Phone
(617) 414-8052
Practice Fax
(617) 638-8053
Enumeration Date
January 18, 2024
Last Updated
February 20, 2026
Sex
Female
Sole Proprietor
No
Certification Date
February 20, 2026
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
3145393 (NH), 110207214A (MA)