Jami Michelle Wallace, APN - Medicare Nurse Practitioner in Pekin, IL

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Jami Michelle Wallace, APN is a medicare enrolled "Nurse Practitioner - Family" in Pekin, Illinois. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Proctor Health Systems, Renalcare Associates, S.c. and her current practice location is 3591 Griffin Ave, Pekin, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 353-6301.

Jami Michelle Wallace is licensed to practice in Illinois (license number 209012991) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1144606195.

Contact Information

Jami Michelle Wallace, APN
3591 Griffin Ave,
Pekin, IL 61554-6258
(309) 353-6301
Not Available

Map and Direction




Provider's Profile

Full NameJami Michelle Wallace
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location3591 Griffin Ave, Pekin, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jami Michelle Wallace graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1144606195
  • Provider Enumeration Date: 07/31/2015
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002108693
  • Enrollment ID: I20160629002488

Medical Identifiers

Medical identifiers for Jami Michelle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144606195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209012991 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Medical Center Of IllinoisPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proctor Health Systems3476440173124
Renalcare Associates, S.c.701281834743

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. Jami Michelle Wallace allows following entities to bill medicare on her behalf.
Entity NamePekin Prohealth Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932150299
PECOS PAC ID: 1951214576
Enrollment ID: O20031110000647
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameRenalcare Associates, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649300377
PECOS PAC ID: 7012818347
Enrollment ID: O20040119000524
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameBelcrest Services Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245275312
PECOS PAC ID: 9335037217
Enrollment ID: O20040310001103
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670663
PECOS PAC ID: 1355259714
Enrollment ID: O20040315000196
Entity NameEvergreen Nephrology Of The Midwest, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801597869
PECOS PAC ID: 3476914961
Enrollment ID: O20230731003747

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. Jami Michelle Wallace 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
Jami Michelle Wallace, APN
3591 Griffin Ave,
Pekin, IL 61554-6258

Ph: (309) 353-6301		Jami Michelle Wallace, APN
3591 Griffin Ave,
Pekin, IL 61554-6258

Ph: (309) 353-6301

Reviews and Comments


Nurse Practitioner Nurses in Pekin, IL

Emily Crebo, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 Park Ave, Pekin, IL 61554
Phone: 309-346-7776    
Kayla Ferman,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3591 Griffin Ave, Pekin, IL 61554
Phone: 309-353-1822    
Madeline Jo Gresham, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 19 Olt Ave, Pekin, IL 61554
Phone: 309-680-7600    Fax: 309-353-3334
Shauna L Bivens, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Griffin Ave., Pekin, IL 61554
Phone: 309-347-4277    Fax: 309-347-4388
Theresa Abbadusky,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Broadway St, Pekin, IL 61554
Phone: 309-346-3416    
Bridget Lynn Welker,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Broadway St, Pekin, IL 61554
Phone: 309-346-3416    

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.