SARA S WALLIS AGACNP
NPI 1912760141
Nurse Practitioner - Acute Care in Decatur, IL
About Sara S Wallis Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA S WALLIS AGACNP (NPI 1912760141) is an individual acute care provider in Decatur, Illinois, licensed in Illinois (209029068) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Sara S Wallis Agacnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Decatur Memorial Hospital
Acute Care Hospitals · Decatur, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62526 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.
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 Sara Wallis's NPI number?
The NPI number for Sara Wallis is 1912760141. It was assigned to this individual provider in the NPPES registry on January 31, 2024.
Where is Sara Wallis located?
Sara Wallis practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-4200.
What is Sara Wallis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Sara Wallis enrolled in Medicare?
Yes. Sara Wallis 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 Sara Wallis affiliated with any hospitals?
According to CMS data, Sara Wallis is affiliated with Decatur Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Sara Wallis was last updated on September 25, 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.
# Sara S Wallis, AGACNP · NPI 1912760141
Acute Care physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since January 31, 2024.
## Identity
- **NPI:** 1912760141 (Entity type: Individual)
- **Enumerated:** January 31, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209029068 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 N EDWARD ST, Decatur, IL 62526-4163
- **Phone:** (217) 876-4200 · **Fax:** (217) 876-4209
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 25, 2024
- **Other identifiers:** Other 041462573 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1912760141) · Data from the CMS NPPES public registry.