SUZANNE LEA WALLACE (NP) – Acute Care Nurse Practitioner, NPI 1356316590

SUZANNE LEA WALLACE (NP) is a healthcare provider. based in Naperville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209000508 (IL). The NPI Number for SUZANNE LEA WALLACE (NP) is 1356316590

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE LEA WALLACE (NP)
NPI
1356316590
Phone
(630) 600-0700
Address
801 S WASHINGTON ST FL 4
Enumeration Date
21 February 2006
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
3312210096
Graduation Year
1999 (27 years ago)
PAC ID
5496714776
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20041004000923
Address ID
IL601265658EL155XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SUZANNE LEA WALLACE (NP)

  • 801 S WASHINGTON ST FL 4

    NAPERVILLE, IL 605407430

    Phone: (630) 600-0700

    Fax: (630) 600-0701

    Type: Mailing

  • 680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE 1000

    CHICAGO, IL 606114546

    Phone: (312) 695-9797

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $4,474.

Total Amount is formed as General ($4,474) + Research ($0) + Ownership ($0) = $4,474.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($3,894).

Total Amount

$4,474

General + Research + Ownership

Payments

28

Total payment records

General Amount

$4,474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041004000923INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes13886$0
View full utilization report →

Insurance plans in this area (ZIP 60540)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Where can patients find SUZANNE LEA WALLACE (NP)'s NPI?
You can confirm SUZANNE LEA WALLACE (NP) with NPI 1356316590; it appears in the national provider directory.
Does this profile mean SUZANNE LEA WALLACE (NP) is currently active?
Yes — SUZANNE LEA WALLACE (NP) appears active in the national provider directory.
What kind of provider is SUZANNE LEA WALLACE (NP)?
The page reflects Acute Care Nurse Practitioner for SUZANNE LEA WALLACE (NP). Clinical services aligned with this taxonomy classification.
What location shows for SUZANNE LEA WALLACE (NP)?
We surface Naperville, Illinois for SUZANNE LEA WALLACE (NP) based on available NPPES addresses.
Is SUZANNE LEA WALLACE (NP) a real provider?
This page reflects official NPPES data for NPI 1356316590. Always confirm identity and privileges with the practice and licensing boards.

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