MR. WILLIAM S WALLACE (APNP) – Nurse Practitioner, NPI 1467429860
Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for MR. WILLIAM S WALLACE (APNP)
700 W Central Ave
Suite 105
El Dorado, KS 670422184
Phone: (316) 322-9813
Fax: (316) 322-9806
Type: Location
1100 GATEWAY CT
WEST BEND, WI 530958539
Phone: (262) 335-8600
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
700, West Central Avenue, El Dorado, Butler County, Kansas, 67042, United States
SUITE 105
EL DORADO, KS 670422184
Phone: (316) 322-9813
Fax: (316) 322-9806
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: 2016-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070531000281 | I | Nurse Practitioner | WI | TBD |
| I20161220001599 | I | Nurse Practitioner | KS | 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 | 113 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 65 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 15 | 15 | $0 |
| 81003 | Automated urinalysis test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 67042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Family Practice | IL | |
| - | WI | |
| E N D O C R I N O L O G Y | IL | |
| Family Practice | PA | |
| Cardiovascular Disease (Cardiology) | WI | |
| - | WI | |
| Family Practice | IL |
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