MS. AMY DIANNA WALLEN (FNP) – Nurse Practitioner, NPI 1831581222
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MS. AMY DIANNA WALLEN (FNP)
203 S WASHINGTON ST
FARMINGTON, MO 636401836
Phone: (573) 664-1047
Type: Location
11 S DIVISION ST
BONNE TERRE, MO 636281772
Phone: (573) 723-1100
Fax: (573) 723-1130
Type: Mailing
2215 BROADWAY ST
CAPE GIRARDEAU, MO 637014403
Phone: (573) 271-5317
Fax: (573) 335-6724
Type: Mailing
10 LAKE DR
BONNE TERRE, MO 636281820
Phone: (573) 271-5317
Fax: (573) 335-6724
Type: Location
4921 PARKVIEW PL
5TH FLOOR SUITE C
SAINT LOUIS, MO 631101032
Phone: (314) 362-7603
Fax: (314) 747-5213
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($139).
Total Amount
$240
General + Research + Ownership
Payments
11
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $139 |
| Neurocrine BioSciences Inc. | $39 |
| Lilly USA, LLC | $23 |
| PFIZER INC. | $23 |
| Janssen Pharmaceuticals, Inc | $17 |
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: 2015-05-20
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 |
|---|---|---|---|---|
| I20150520000874 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,200 | 147 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 814 | 40 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 498 | 62 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 418 | 40 | $0 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 250 | 75 | $0 |
Insurance plans in this area (ZIP 63640)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Mental Health Counselor | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.