Kendall E Wallace

APRN | Nurse Practitioner - Family | 6+ years Exp

Accepts Medicare Family Nurse Practitioner in Urbana, Illinois.
Kendall E Wallace is a Urbana, Illinois based nurse practitioner with 6 years of experience in Family. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kendall E Wallace is 209017908 for Family in Illinois. Her current practice location is 611 W Park St, Urbana. Patients can reach her at 217-383-3311. Kendall E Wallace is APRN with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1003391061.
Kendall E Wallace 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:
Kendall E Wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kendall E Wallace
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: APRN
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2018
Accepts Medicare Assignment:Yes
Practice Address:611 W Park St, Urbana,
Illinois, 61801-2529
Phone:217-383-3311
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: 6305180266
Enrollment ID: I20181204000097
NPI Number: 1003391061
NPI Enumeration Date: 26 Sep, 2018
NPI Last Update On: 04 Apr, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendall E Wallace are as mentioned below.
License NumberSpecializationStateStatus
209017908Family IllinoisPrimary
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
(140148)Springfield, ILAcute 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 Kendall E Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Memorial Physician Services (9032005681)176
Other Medical Identifiers:
Other legacy medical identifiers associated with Kendall E Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
041412378OtherIllinoisRN LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kendall E Wallace
611 W Park St,
Urbana, Illinois
Zip: 61801-2501
Patients can reach Kendall E Wallace at 611 W Park St, Urbana, Illinois or can call to book an appointment on 217-383-3311.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.