Amanda Wallace, APRN in Appleton, WI - Medicare Nurse Practitioner

Amanda Wallace, APRN is a medicare enrolled "Obstetrics & Gynecology" physician in Appleton, Wisconsin. She went to University Of South Alabama College Of Medicine and graduated in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Womens Health Specialists Sc and her current practice location is 1531 S Madison St Fl 3, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 749-4000.

Amanda Wallace is licensed to practice in Wisconsin (license number APRN11024430) 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 1992408587.

Contact Information

	Amanda Wallace, APRN
	1531 S Madison St Fl 3, Appleton, WI 54915-1800
	(920) 749-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Amanda Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1531 S Madison St Fl 3, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Wallace attended and graduated from University Of South Alabama College Of Medicine in 2022

NPI Data:

NPI Number: 1992408587
Provider Enumeration Date: 03/23/2023
Last Update Date: 10/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1153786421
Enrollment ID: I20231114002785

Medical Identifiers

Medical identifiers for Amanda Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992408587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	APRN11024430 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Ascension Ne Wisconsin - St Elizabeth Campus	Appleton, WI	Hospital
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Womens Health Specialists Sc	8628044138	23

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. Amanda Wallace allows following entities to bill medicare on her behalf.

Entity Name	Womens Health Specialists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417086216 PECOS PAC ID: 8628044138 Enrollment ID: O20040907000791

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. Amanda 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 Address	Practice Location Address
Amanda Wallace, APRN 1531 S Madison St Fl 3, Appleton, WI 54915-1800 Ph: (920) 749-4000	Amanda Wallace, APRN 1531 S Madison St Fl 3, Appleton, WI 54915-1800 Ph: (920) 749-4000

Reviews and Comments

Obstetrics & Gynecology Doctors in Appleton, WI

Christopher W Wagener, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-730-4413
Mark W Faustich, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-730-4413
Suzanne Swanson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: W5282 Amy Ave, Appleton, WI 54915 Phone: 920-358-1900 Fax: 920-358-1909
C Danae Steele, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-749-4000 Fax: 920-882-6372
Deeann D B Reece, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4435
Dr. Jeffery J Cherney, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-749-4000 Fax: 920-749-4015
Amanda Anne Reed, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3232 N Ballard Rd Ste 100, Appleton, WI 54911 Phone: 920-729-7105

Amanda Wallace, APRN - Medicare Nurse Practitioner in Appleton, WI