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SHEREECE NICHOLE WALLACE DNP, AGPCNP-BC
NPI 1104338318
Nurse Practitioner in Alton, IL

Active since October 27, 2017PECOS EnrolledAccepts Medicare Assignment
1 MEMORIAL DR, ALTON, IL 62002(618) 463-7240 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2024, Jan 16, 2023, Aug 17, 2021 and 2 more (5 updates tracked since 2017).

About Shereece Nichole Wallace Dnp, Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEREECE NICHOLE WALLACE DNP, AGPCNP-BC (NPI 1104338318) is an individual nurse practitioner in Alton, Illinois, licensed in Illinois (209017027) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104338318
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHEREECE NICHOLE WALLACECredential: DNP, AGPCNP-BC
Location Address1 MEMORIAL DRAlton, IL 62002-6722
Mailing Address660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512 · (314) 448-3791 · Fax (636) 996-7658
Phone(618) 463-7240
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 27, 2017
Last NPPES UpdateSeptember 25, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1104338318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209017027
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209017027 (IL), 2017038282 (MO)
1 MEMORIAL DR, Alton, IL 62002
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Secondary Practice Locations 4

Location 14500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220 · Fax (618) 257-6679
Location 211155 Dunn Rd Ste 109NSaint Louis, MO 63136-6148 · Phone (314) 953-8799
Location 32122 Troy Rd Ste 130Edwardsville, IL 62025-2540 · Phone (618) 800-4500
Location 411133 Dunn RdSaint Louis, MO 63136-6163 · Phone (314) 653-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shereece Nichole Wallace Dnp, Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557627049
PECOS Enrollment IDI20210830003376
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Shereece Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Heights Medical Group, Sc
25 mi
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1811392210 (314) 996-7644
Physician Groups Lc
25 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 611 clinicians in this Medicare group
NPI 1285664268 (314) 996-7644
Southeastern Physician Services PC
381 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Missouri enrollment
  • 193 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
81 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$31.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$73.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims36 services$29.73 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers14 claims14 services$13.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims108 services$1.62 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
3 suppliers12 claims12 services$10.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIA M MILAZZO CRNA
Nurse Anesthetist, Certified Registered
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
DR. JULETTA AVAGYAN M.D.
Hospitalist
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7240
RODGER HANKO M.D.
Emergency Medicine
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
MATTHEW E DUBAN M.D., FACEP
Emergency Medicine
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
MS. SYLVIA G HOORMANN CRNA
Nurse Anesthetist, Certified Registered
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
MS. MEREDITH ANNE PARKER MSW, LCSW
Social Worker (Clinical)
1 MEMORIAL DR, 2ND FLOOR, OLIN WING
ALTON, IL 62002
Madison County (618) 463-7523
HOME CARE PHARMACY REFILL CTR
Pharmacy (Mail Order Pharmacy)
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7833
ALTON MEMORIAL HOSPITAL
Ambulance
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shereece Wallace's NPI number?

The NPI number for Shereece Wallace is 1104338318. It was assigned to this individual provider in the NPPES registry on October 27, 2017.

Where is Shereece Wallace located?

Shereece Wallace practices at 1 Memorial Dr, Alton, IL 62002. The listed phone number is (618) 463-7240.

What is Shereece Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shereece Wallace enrolled in Medicare?

Yes. Shereece Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shereece Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shereece Wallace reassigns Medicare benefits to 3 organizations: Fairview Heights Medical Group, Sc (Saint Louis, MO), Physician Groups Lc (Saint Louis, MO) and Southeastern Physician Services PC (Oak Ridge, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shereece Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shereece Wallace accept?

Health plans from UnitedHealthcare list Shereece Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shereece Wallace affiliated with any hospitals?

According to CMS data, Shereece Wallace is affiliated with Alton Memorial Hospital, Jersey Community Hospital, Memorial Hospital and Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Shereece Wallace was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.