Amy D Wallis, FNP - Medicare Nurse Practitioner in Fort Madison, IA

  1. Home
  2. Nurse Practitioner
  3. IA
  4. Fort Madison
Amy D Wallis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Madison, Iowa. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Iowa Regional Medical Center Inc and her current practice location is 5409 Avenue O, Fort Madison, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 376-2134.

Amy D Wallis is licensed to practice in Iowa (license number 100507) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275598864.

Contact Information

Amy D Wallis, FNP
5409 Avenue O,
Fort Madison, IA 52627-9601
(319) 376-2134
(319) 376-2188

Map and Direction




Provider's Profile

Full NameAmy D Wallis
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location5409 Avenue O, Fort Madison, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy D Wallis graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1275598864
  • Provider Enumeration Date: 04/18/2006
  • Last Update Date: 10/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1052356490
  • Enrollment ID: I20050625000013

Medical Identifiers

Medical identifiers for Amy D Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275598864NPI-NPPES
1275598864OtherIAWELLMARK BLUE CROSS BLUE SHIELD
1275598864MedicaidIA
P00456554OtherINRAILROAD MEDICARE
200848020AMedicaidIN
CG3197OtherINMEDCARE RAILROAD GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71002282A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 100507 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Great River HospiceWest burlington, IAHospice
Great River Medical CenterWest burlington, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Iowa Regional Medical Center Inc3870496417202

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy D Wallis allows following entities to bill medicare on her behalf.
Entity NameSoutheast Iowa Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20040130000139
Entity NameFort Madison Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083764393
PECOS PAC ID: 8729971841
Enrollment ID: O20040203001066

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy D Wallis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy D Wallis, FNP
5409 Avenue O,
Fort Madison, IA 52627-9601

Ph: (319) 376-2134		Amy D Wallis, FNP
5409 Avenue O,
Fort Madison, IA 52627-9601

Ph: (319) 376-2134

Reviews and Comments


Nurse Practitioner Nurses in Fort Madison, IA

Jennifer Griffith, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3009 Timberlane Dr, Fort Madison, IA 52627
Phone: 319-316-3224    
Mrs. Michelle Lynn Hornung, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5409 Avenue O, Fort Madison, IA 52627
Phone: 319-376-2134    Fax: 319-376-2188
Katrina Hotka-truempler, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5445 Avenue O, Fort Madison, IA 52627
Phone: 319-372-6530    
Ms. Sara Marie Gudenkauf, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5409 Avenue O, Fort Madison, IA 52627
Phone: 319-376-2134    Fax: 319-376-2188
Kaitlyn Marie Fedler, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5445 Avenue O, Fort Madison, IA 52627
Phone: 319-759-4987    
Carrie Skibba,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5409 Avenue O, Fort Madison, IA 52627
Phone: 319-376-2134    Fax: 319-376-2188

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.