Bonnie Leigh Wallace, FNP-C - Nurse Practitioner in Herriman, UT

Bonnie Leigh Wallace, FNP-C is a Nurse Practitioner - Family based in Herriman, Utah. Bonnie Leigh Wallace is licensed to practice in Utah (license number 7682759-4405) and her current practice location is 12573 S Liberty Hill Ct, Herriman, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 690-4899.

NPI number for Bonnie Leigh Wallace is 1871316372 and her current mailing address is 12573 S Liberty Hill Ct, Herriman, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871316372.

Contact Information

Bonnie Leigh Wallace, FNP-C
12573 S Liberty Hill Ct,
Herriman, UT 84096-7774
(801) 690-4899
Not Available

Map and Direction




Provider's Profile

Full NameBonnie Leigh Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location12573 S Liberty Hill Ct, Herriman, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871316372
  • Provider Enumeration Date: 11/04/2024
  • Last Update Date: 11/04/2024

Medical Identifiers

Medical identifiers for Bonnie Leigh Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871316372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7682759-4405 (Utah)Primary

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. Bonnie Leigh Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bonnie Leigh Wallace, FNP-C
12573 S Liberty Hill Ct,
Herriman, UT 84096-7774

Ph: (801) 690-4899
Bonnie Leigh Wallace, FNP-C
12573 S Liberty Hill Ct,
Herriman, UT 84096-7774

Ph: (801) 690-4899

Reviews and Comments


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Phone: 801-662-8951    Fax: 801-542-0671
Patricio Mendoza, FNP-C
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Phone: 801-699-5629    
Ms. Karen Jane Olson, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 13400 S. 5746 W #200, Herriman, UT 84096
Phone: 801-987-7500    Fax: 801-987-7539

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.