JAMI MICHELLE WALLACE (APRN) – Family Nurse Practitioner, NPI 1144606195
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for JAMI MICHELLE WALLACE (APRN)
600 S 13TH ST
PEKIN, IL 615544936
Phone:
Type: Mailing
3525 N UNIVERSITY ST
PEORIA, IL 616041324
Phone: (309) 886-9172
Type: Location
PO BOX 9727
PEORIA, IL 616129727
Phone: (309) 886-9172
Type: Mailing
3591 GRIFFIN AVE
PEKIN, IL 615546258
Phone: (309) 353-6301
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160629002488 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 157 | 150 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 105 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 50 | 11 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 29 | 27 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 29 | 26 | $0 |
Insurance plans in this area (ZIP 61554)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| P O D I A T R Y | IL | |
| Nurse Practitioner | NC | |
| Internal Medicine, Pediatric Medicine | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Pediatric Medicine, Internal Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Internal Medicine | IL | |
| Physician Assistant | IL |
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