Sara S Wallis, AGACNP - Medicare Nurse Practitioner in Decatur, IL

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Sara S Wallis, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Decatur, Illinois. Her current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 876-4200.

Sara S Wallis is licensed to practice in Illinois (license number 209029068) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912760141.

Contact Information

Sara S Wallis, AGACNP
2300 N Edward St,
Decatur, IL 62526-4163
(217) 876-4200
(217) 876-4209

Map and Direction




Provider's Profile

Full NameSara S Wallis
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2300 N Edward St, Decatur, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912760141
  • Provider Enumeration Date: 01/31/2024
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183060106
  • Enrollment ID: I20240313002058

Medical Identifiers

Medical identifiers for Sara S Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912760141NPI-NPPES
041462573OtherILRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 209029068 (Illinois)Primary

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. Sara S Wallis allows following entities to bill medicare on her behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685

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. Sara S 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
Sara S Wallis, AGACNP
2300 N Edward St,
Decatur, IL 62526-4163

Ph: (217) 876-4200		Sara S Wallis, AGACNP
2300 N Edward St,
Decatur, IL 62526-4163

Ph: (217) 876-4200

Reviews and Comments


Nurse Practitioner Nurses in Decatur, IL

Mr. Jason Grauer, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-8121    
Angelique Bautista Gabat, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526
Phone: 217-876-2400    Fax: 217-876-2405
Christine M Meeker, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2126    
Nicole Marie Lord, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1770 E Lake Shore Dr, #309, Decatur, IL 62521
Phone: 217-422-9740    
Matya Leann Riley, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 151 N Main St, Decatur, IL 62523
Phone: 217-362-6262    Fax: 217-362-6290
Mr. Aaron Todd Bell, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526
Phone: 217-876-2400    Fax: 217-876-2405
Kimberly A Kish, APN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2880 N Monroe St, Decatur, IL 62526
Phone: 217-330-8939    Fax: 217-330-9063

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.