Phyllis Wallace, APRN

ActiveIndividual ProviderNurse Practitioner
NPI issued: June 16, 2006

Quick Facts

NPI Number
1366486417
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LW0102X — Nurse Practitioner
Phone
(580) 925-3286
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1366486417)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 16, 2006)
Data source: CMS NPPES

Provider Overview

PHYLLIS WALLACE, APRN is a Nurse Practitioner provider based in Konawa, OK who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1366486417
Provider TypeIndividual Provider
GenderFemale
CredentialAPRN
StatusActive
Enumeration DateJune 16, 2006

Practice Location

CityKonawa
StateOK
ZIP Code74849-1415
Phone(580) 925-3286

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LW0102X
License StateOK

Mailing Address

CityKonawa
StateOK
ZIP Code74849-1415
Phone(580) 925-3286
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1366486417 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1366486417for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1366486417 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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10,101
Nurse Practitioner Providers in the US

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No similar providers found in Konawa.

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People Also Ask

What is Phyllis Wallace's NPI number?
Phyllis Wallace's NPI number is 1366486417, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Phyllis Wallace's NPI currently active?
Yes, Phyllis Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Phyllis Wallace specialize in?
Phyllis Wallace specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LW0102X.
Where does Phyllis Wallace practice?
Phyllis Wallace practices in Konawa, OK 74849-1415.
When was Phyllis Wallace's NPI issued?
Phyllis Wallace's NPI was issued on June 16, 2006.
What is Phyllis Wallace's provider type?
Phyllis Wallace is registered as an Individual Provider under CMS NPI Type 1.