Amy D Wallis

FNP | Nurse Practitioner - Family | 20+ years Exp

5409 Avenue O, Fort Madison
  Iowa, 52627-9601
319-376-2134
Accepts Medicare Nurse Anesthetist in Fort Madison, Iowa.
Amy D Wallis is a Fort Madison, Iowa based nurse practitioner with 20 years of experience in Family. She completed her graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Amy D Wallis is 100507 for Family in Iowa. Her current practice location is 5409 Avenue O, Fort Madison. Patients can reach her at 319-376-2134 or can fax her at 319-376-2188. Amy D Wallis is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1275598864.
Amy D Wallis delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Amy D Wallis speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Amy D Wallis
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: FNP
Experience: 20+ years
Medical School Attended:Other
Graduation Year:2005
Accepts Medicare Assignment:Yes
Practice Address:5409 Avenue O, Fort Madison,
Iowa, 52627-9601
Phone:319-376-2134
Fax:319-376-2188
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1052356490
Enrollment ID: I20050625000013
NPI Number: 1275598864
NPI Enumeration Date: 18 Apr, 2006
NPI Last Update On: 06 Oct, 2011

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amy D Wallis are as mentioned below.
License NumberSpecializationStateStatus
100507Family IowaPrimary
71002282AFamily IndianaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(160057)West burlington, IAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Amy D Wallis is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Southeast Iowa Regional Medical Center Inc (3870496417)196
Other Medical Identifiers:
Other legacy medical identifiers associated with Amy D Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1275598864OtherIowaWELLMARK BLUE CROSS BLUE SHIELD
1275598864MedicaidIowa
P00456554OtherIndianaRAILROAD MEDICARE
200848020AMedicaidIndiana
CG3197OtherIndianaMEDCARE RAILROAD GROUP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Amy D Wallis
5409 Avenue O,
Fort Madison, Iowa
Zip: 52627-9601
Phone Number: 319-376-2134
Fax Number: 319-376-2188
Patients can reach Amy D Wallis at 5409 Avenue O, Fort Madison, Iowa or can call to book an appointment on 319-376-2134.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.