SAVANNAH WALLACE FNP-BC, APNP
NPI 1881402469
Nurse Practitioner - Family in Madison, WI
About Savannah Wallace Fnp-bc, Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAVANNAH WALLACE FNP-BC, APNP (NPI 1881402469) is an individual family provider in Madison, Wisconsin, licensed in Wisconsin (F10230571) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Savannah Wallace Fnp-bc, 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.
Medicare Billing Reassignment
Medicare enrollment records show Savannah Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
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 53715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MADISON, WI 53715
MADISON, WI 53715
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 Savannah Wallace's NPI number?
The NPI number for Savannah Wallace is 1881402469. It was assigned to this individual provider in the NPPES registry on December 27, 2024.
Where is Savannah Wallace located?
Savannah Wallace practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 251-6100.
What is Savannah Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Savannah Wallace enrolled in Medicare?
Yes. Savannah 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 organization bills Medicare for Savannah Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Savannah Wallace reassigns Medicare benefits to Dean Health Systems, Inc (Madison, WI). The 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 Savannah 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 Savannah Wallace was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Savannah Wallace, FNP-BC, APNP · NPI 1881402469
Family physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since December 27, 2024.
## Identity
- **NPI:** 1881402469 (Entity type: Individual)
- **Enumerated:** December 27, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F10230571 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 S PARK ST, Madison, WI 53715-1830
- **Phone:** (608) 251-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dean Health Systems, Inc (NPI 1053358846, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881402469) · Data from the CMS NPPES public registry.