Ms. Amy Dianna Wallen
FNP | Nurse Practitioner | 11+ years Exp
10 Lake Dr, Bonne Terre
Missouri, 63628-1820
573-271-5317
Ms. Amy Dianna Wallen is a Bonne Terre, Missouri based nurse practitioner with 11 years of experience in . She completed her graduation in 2014. and . She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Ms. Amy Dianna Wallen is 2015006782 in Missouri. Her current practice location is 10 Lake Dr, Bonne Terre. Patients can reach her at 573-271-5317 or can fax her at 573-335-6724. Ms. Amy Dianna Wallen is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1831581222.
Ms. Amy Dianna Wallen has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Amy Dianna Wallen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Amy Dianna Wallen |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 10 Lake Dr, Bonne Terre,
Missouri, 63628-1820 |
| Phone: | 573-271-5317 |
| Fax: | 573-335-6724 |
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: | 9436307139 |
| Enrollment ID: | I20150520000874 |
| NPI Number: | 1831581222 |
| NPI Enumeration Date: | 23 Feb, 2015 |
| NPI Last Update On: | 08 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 Ms. Amy Dianna Wallen are as mentioned below.
| License Number | Specialization | State | Status | |
| 2015006782 | | Missouri | Primary | |
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 |
| (261308) | Potosi, MO | Critical Access Hospital |
| (261336) | Pilot knob, MO | Critical Access 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 Ms. Amy Dianna Wallen is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Bonne Terre Healthcare Clinic, Llc (6103253919) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Amy Dianna Wallen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 420021276 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Amy Dianna Wallen
2215 Broadway St,
Cape Girardeau, Missouri |
| Zip: | 63701-4403 |
| Phone Number: | 573-271-5317 |
| Fax Number: | 573-335-6724 |
Patients can reach Ms. Amy Dianna Wallen at
10 Lake Dr, Bonne Terre, Missouri or can
call to book an appointment on 573-271-5317.
Comments/ Reviews:
Patients can read all the reviews posted for Ms. Amy Dianna Wallen below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ms. Amy Dianna Wallen. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.