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MR. WILLIAM S WALLACE APNP
NPI 1467429860
Nurse Practitioner in West Bend, WI

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
1100 GATEWAY CT, WEST BEND, WI 53095(262) 335-8600 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, Feb 10, 2017 (2 updates tracked since 2017).

About Mr. William S Wallace Apnp NPPES

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

MR. WILLIAM S WALLACE APNP (NPI 1467429860) is an individual nurse practitioner in West Bend, Wisconsin, licensed in Wisconsin (2475) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and maintains a secondary practice location in El Dorado.

NPPES Registry Identity

NPI1467429860
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. WILLIAM S WALLACECredential: APNP
Location Address1100 GATEWAY CTWest Bend, WI 53095-8539
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 335-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 3, 2006
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1467429860 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 WI · 2475
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 · FamilyTaxonomy 363LF0000X · License KS44943 (KS)
1100 GATEWAY CT, West Bend, WI 53095
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 W Central Ave, Suite 105El Dorado, KS 67042-2184 · Phone (316) 322-9813 · Fax (316) 322-9806

Other Identifiers 2

Medicaid36030600WI
MedicaidPENDINGKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), 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

Mr. William S Wallace Apnp 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 ID8224136171
PECOS Enrollment IDI20070531000281
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

4

Medicare enrollment records show William Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Advanced Healthcare, Inc.
21 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Aurora Medical Group, Inc.
28 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Lakeshore Medical Clinic, LLC
34 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589
Susan B. Allen Memorial Hospital
595 mi
General Practice
720 W CENTRAL AVE
El Dorado, KS 67042
  • Reassigned Medicare billing, Kansas enrollment
  • 34 clinicians in this Medicare group
NPI 1013439926 (316) 321-3300

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.

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.
120 services107 patients
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.
48 services48 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

TAMMY L SCHLADWEILER APNP
Nurse Practitioner
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 335-8600
SARAH KUCHARSKI PT
Physical Therapist
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 306-6100
COURTNEY KOHLMANN
Physical Therapist
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 306-6100
ALLISON R SAJDAK HETZEL APNP
Nurse Practitioner
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 335-8600
MR. KYLE BUTTERS LAT, ATC
Specialist/Technologist (Athletic Trainer)
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 306-6100
JORGE MARQUEZ DE LEON MD
Psychiatry & Neurology (Neurology)
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 335-8600
NICHOLE CARSTENS ATC, LAT
Specialist/Technologist (Athletic Trainer)
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 306-6100
JENNIFER S GEORGE DO
Family Medicine
1100 GATEWAY CT
WEST BEND, WI 53095
Washington County (262) 335-8600

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 William Wallace's NPI number?

The NPI number for William Wallace is 1467429860. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is William Wallace located?

William Wallace practices at 1100 Gateway Ct, West Bend, WI 53095. The listed phone number is (262) 335-8600.

What is William Wallace's specialty?

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

Is William Wallace enrolled in Medicare?

Yes. William 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 William Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Wallace reassigns Medicare benefits to 4 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (West Allis, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI) and Susan B. Allen Memorial Hospital (El Dorado, KS). 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 William Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Wallace accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list William 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 William Wallace affiliated with any hospitals?

According to CMS data, William Wallace is affiliated with Aurora Medical Ctr Washington County.

When was this NPI record last updated?

The NPPES record for William Wallace was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.