PENNY SUE WALLMAN – Primary Care Nurse Practitioner, NPI 1346698941
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
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Provider Addresses for PENNY SUE WALLMAN
677, East Main Street, Centreville, Nottawa Township, Saint Joseph County, Michigan, 49032, United States
CENTREVILLE, MI 490328524
Phone: (269) 467-1000
Type: Location
677 E Main St
Centreville, MI 490328524
Phone: (269) 467-1000
Type: Location
735 E CHICAGO ST
BRONSON, MI 490281349
Phone: (517) 858-1400
Fax: (517) 858-1403
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $1,832.
Total Amount is formed as General ($1,832) + Research ($0) + Ownership ($0) = $1,832.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($356).
Total Amount
$1,832
General + Research + Ownership
Payments
72
Total payment records
General Amount
$1,832
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $356 |
| Otsuka America Pharmaceutical, Inc. | $292 |
| Lilly USA, LLC | $135 |
| Insmed, Inc. | $114 |
| Lundbeck LLC | $93 |
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: 2017-12-21
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 |
|---|---|---|---|---|
| I20171221002311 | I | Nurse Practitioner | MI | 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 | 283 | 108 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 55 | 34 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 43 | 16 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | 30 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 27 | 16 | $0 |
Insurance plans in this area (ZIP 49032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | IN | |
| - | MI | |
| Internal Medicine | MI | |
| Preventive Medicine, Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI |
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