1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMI MICHELLE WALLACE APRN
NPI 1144606195
Nurse Practitioner - Family in Peoria, IL

Active since July 31, 2015PECOS Enrolled
711 W JOHN H GWYNN JR AVE, PEORIA, IL 61605(309) 680-7600(309) 671-4695 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2026, Feb 15, 2023, Sep 28, 2022 (3 updates tracked since 2022).

About Jami Michelle Wallace Aprn NPPES

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

JAMI MICHELLE WALLACE APRN (NPI 1144606195) is an individual family provider in Peoria, Illinois, licensed in Illinois (209012991) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1144606195
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAMI MICHELLE WALLACECredential: APRN
Location Address711 W JOHN H GWYNN JR AVEPeoria, IL 61605-2270
Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 680-7600
Phone(309) 680-7600
Fax(309) 671-4695
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 31, 2015
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1144606195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209012991
711 W JOHN H GWYNN JR AVE, Peoria, IL 61605
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jami Michelle Wallace Aprn 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 ID6002108693
PECOS Enrollment IDI20160629002488
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services104 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
78 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services22 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61605 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES

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

HEARTLAND COMMUNITY HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
711 W JOHN H GWYNN JR AVE
PEORIA, IL 61605
Peoria County (309) 680-7600

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 Jami Wallace's NPI number?

The NPI number for Jami Wallace is 1144606195. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Jami Wallace located?

Jami Wallace practices at 711 W John H Gwynn Jr Ave, Peoria, IL 61605. The listed phone number is (309) 680-7600.

What is Jami Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jami Wallace enrolled in Medicare?

Yes. Jami 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.

What insurance does Jami Wallace accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jami 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 Jami Wallace affiliated with any hospitals?

According to CMS data, Jami Wallace is affiliated with Proctor Hospital and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Jami Wallace was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.