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DR. JENNIFER K WALLACE DNP, APRN, FNP-BC
NPI 1306642996
Nurse Practitioner - Family in Sycamore, IL

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment
2496 DEKALB AVE, SYCAMORE, IL 60178(815) 787-3678 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jennifer K Wallace Dnp, Aprn, Fnp-bc NPPES

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

DR. JENNIFER K WALLACE DNP, APRN, FNP-BC (NPI 1306642996) is an individual family provider in Sycamore, Illinois, licensed in Illinois (209.031651) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306642996
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JENNIFER K WALLACECredential: DNP, APRN, FNP-BC
Location Address2496 DEKALB AVESycamore, IL 60178-3293
Mailing Address1410 Peyton PlSt Charles, IL 60174-5067 · (630) 388-8262
Phone(815) 787-3678
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1306642996 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 · 209.031651
2496 DEKALB AVE, Sycamore, IL 60178
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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

Dr. Jennifer K Wallace Dnp, Aprn, Fnp-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 ID4486175015
PECOS Enrollment IDI20250311002981
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

2

Medicare enrollment records show Jennifer Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Immediate Care North Chicago LLC
50 mi
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
NPI 1205814118 (815) 713-2738
Wellnow Urgent Care, PC
642 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 195 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60178 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.

ALEXA ANNE WILLIAMSON
Physician Assistant
2496 DEKALB AVE
SYCAMORE, IL 60178
Dekalb County (815) 754-1122

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 Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1306642996. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 2496 Dekalb Ave, Sycamore, IL 60178. The listed phone number is (815) 787-3678.

What is Jennifer Wallace's specialty?

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

Is Jennifer Wallace enrolled in Medicare?

Yes. Jennifer 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 Jennifer Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wallace reassigns Medicare benefits to 2 organizations: Physicians Immediate Care North Chicago LLC (Chicago, IL) and Wellnow Urgent Care, PC (Liverpool, NY). 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 Jennifer Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.