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Provider Profile

Phyllis A. Wallace, APRN

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At a glance

About Phyllis Wallace

Phyllis A. Wallace, APRN is a nurse practitioner — family practicing in Konawa, OK. Phyllis trained at University of Nebraska College of Medicine, graduating in 2002. Phyllis is also listed as specializing in nurse practitioner — women's health. Medicare claims data shows Phyllis provided 271 services to 189 patients. The services billed most often include administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes, blood test, comprehensive group of blood chemicals, and complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. This provider record is associated with NPI 1366486417.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

OK licenceAs reported to the NPI registry
No. 35497As reported
OK licenceAs reported to the NPI registry
No. R0035497As reported
NPINational Provider Identifier
1366486417Issued 2006

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Phyllis A. Wallace specialize in?

Phyllis A. Wallace is a nurse practitioner in Konawa, OK. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Phyllis A. Wallace located?

Phyllis A. Wallace is listed at 527 W 3Rd St, Konawa, OK 74849. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Phyllis A. Wallace's phone number?

The number on file is (580) 925-3286. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Phyllis A. Wallace?

Phyllis A. Wallace's National Provider Identifier is 1366486417. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Phyllis A. Wallace train?

Phyllis A. Wallace attended University of Nebraska College of Medicine, graduating in 2002. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Phyllis A. Wallace have?

Phyllis A. Wallace has 24 years experience. Calculated from a graduation year of 2002, reported in the CMS National Downloadable File.

CMS public data

What does Phyllis A. Wallace do most often?

According to Medicare billing data, Phyllis A. Wallace the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Phyllis A. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Phyllis A. Wallace. If this is you, claiming it is free.

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