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DEANNA WALLACE NP
NPI 1609222579
Nurse Practitioner - Family in Urbana, IL

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
611 W PARK, FAPC, URBANA, IL 61802(217) 902-6954(217) 902-7711 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Dec 27, 2021, Dec 21, 2021 and 3 more (6 updates tracked since 2016).

About Deanna Wallace Np NPPES

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

DEANNA WALLACE NP (NPI 1609222579) is an individual family provider in Urbana, Illinois, licensed in Illinois (209014278) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609222579
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEANNA WALLACECredential: NP
Location Address611 W PARK, FAPCUrbana, IL 61802
Mailing Address611 W Park, FapcUrbana, IL 61802 · (217) 902-6954 · Fax (217) 902-7711
Phone(217) 902-6954
Fax(217) 902-7711
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateDecember 31, 20246 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1609222579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014278
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 209.014278 (IL)
611 W PARK, Urbana, IL 61802
Open in Google Maps ↗

Other Names 1

Former Name (1)Deanna Brown

Secondary Practice Locations 2

Location 11800 E Lake Shore DrDecatur, IL 62521-3810 · Phone (217) 422-6100 · Fax (217) 422-3217
Location 21770 E Lake Shore Dr Ste 105Decatur, IL 62521-3800 · Phone (217) 422-6100 · Fax (833) 784-5326

Other Identifiers 1

OtherP01657319IL · Railroad

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

Deanna 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 ID5799074605
PECOS Enrollment IDI20160517000849
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 3

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.
86 services78 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.
77 services68 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.
43 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141316
Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61802 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

STEPHANIE R MIGNANO DPM
Podiatrist (Foot & Ankle Surgery)
611 W PARK, FAPC
URBANA, IL 61802
Champaign County (217) 902-6954
PRASHANTH MALLIKARJUN SINGANALLUR
Internal Medicine
611 W PARK, FAPC
URBANA, IL 61802
Champaign County (217) 902-6954
DR. QI XIAO MD
Radiology (Diagnostic Radiology)
611 W PARK, FAPC
URBANA, IL 61802
Champaign County (217) 902-6954
NAJIB NASSANI M.D.
Internal Medicine (Gastroenterology)
611 W PARK, FAPC
URBANA, IL 61802
Champaign County (217) 902-6954
NAMRATA SINGH
Emergency Medicine
611 W PARK, FAPC
URBANA, IL 61802
Champaign County (217) 902-6954
DR. MARTHA MENCHACA M.D.
Radiology (Diagnostic Radiology)
611 W PARK, FAPC
CHAMPAIGN, IL 61802
Champaign County (217) 902-6954
DR. RASHAD CLIFTON WILKERSON D.O.
Internal Medicine (Gastroenterology)
611 W PARK, FAPC
URBANA, IL 61802
Champaign County (217) 902-6954
JOB SIEKEI MOGIRE
Internal Medicine (Cardiovascular Disease)
611 W PARK, FAPC
URBANA, IL 61802
Champaign County (217) 902-6954

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 Deanna Wallace's NPI number?

The NPI number for Deanna Wallace is 1609222579. It was assigned to this individual provider in the NPPES registry on May 10, 2016. The provider is also known as Deanna Brown.

Where is Deanna Wallace located?

Deanna Wallace practices at 611 W Park Fapc, Urbana, IL 61802. The listed phone number is (217) 902-6954.

What is Deanna Wallace's specialty?

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

Is Deanna Wallace enrolled in Medicare?

Yes. Deanna 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.

Is Deanna Wallace affiliated with any hospitals?

According to CMS data, Deanna Wallace is affiliated with Carle Foundation Hospital and Carle Hoopeston Regional Health Center.

When was this NPI record last updated?

The NPPES record for Deanna Wallace was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.