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SONNY S WALLACE NP
NPI 1164909339
Nurse Practitioner in Omaha, NE

Active since July 20, 2018PECOS EnrolledAccepts Medicare Assignment
7500 MERCY RD, OMAHA, NE 68124(855) 524-4001(402) 398-5589 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Sonny S Wallace Np NPPES

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

SONNY S WALLACE NP (NPI 1164909339) is an individual nurse practitioner in Omaha, Nebraska, licensed in Nebraska (112565) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Chi Health Midlands, and is a graduate of University Of Nebraska College Of Medicine (2018).

NPPES Registry Identity

NPI1164909339
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSONNY S WALLACECredential: NP
Location Address7500 MERCY RDOmaha, NE 68124-2319
Mailing Address7500 Mercy RdOmaha, NE 68124-2319 · (855) 524-4001 · Fax (402) 398-5589
Phone(855) 524-4001
Fax(402) 398-5589
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2018
Enumeration DateJuly 20, 2018
Last NPPES UpdateSeptember 20, 20182 updates tracked since enumeration
✔ NPI 1164909339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NE · 112565✔ Licensed in IA · H152173
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.
7500 MERCY RD, Omaha, NE 68124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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

Sonny S Wallace Np 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 ID7911258983
PECOS Enrollment IDI20181002000491, I20181002000715
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 2

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 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.
99 services55 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.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Chi Health Midlands

Acute Care Hospitals · Papillion, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number280105
Location11111 South 84th StPapillion, NE 68046 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$61.89 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.

MATTHEW JOHN KAPALIS DO
Internal Medicine (Clinical Cardiac Electrophysiology)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6255
DR. JOHN FRANCIS GUYNAN M.D.
Radiology (Diagnostic Radiology)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 597-8775
OLIVIA B TEDESCO APRN
Nurse Practitioner (Neonatal, Critical Care)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6014
MS. ELISE ANN PLAUTZ APRN
Nurse Practitioner
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
JASON CROMER CRNA
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
ZACHARY KNICKY
Anesthesiology
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
DR. SAHIL MULLICK M.D.
Hospitalist
7500 MERCY RD, CU DEPARTMENT OF FAMILY MEDICINE
OMAHA, NE 68124
Douglas County (855) 524-4001
SARAH R MAYHUE APRN
Nurse Practitioner (Neonatal, Critical Care)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 212-0903

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 Sonny Wallace's NPI number?

The NPI number for Sonny Wallace is 1164909339. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Where is Sonny Wallace located?

Sonny Wallace practices at 7500 Mercy Rd, Omaha, NE 68124. The listed phone number is (855) 524-4001.

What is Sonny Wallace's specialty?

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

Is Sonny Wallace enrolled in Medicare?

Yes. Sonny 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 Sonny Wallace accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Sonny 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 Sonny Wallace affiliated with any hospitals?

According to CMS data, Sonny Wallace is affiliated with Chi Health Midlands.

When was this NPI record last updated?

The NPPES record for Sonny Wallace was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.