Active NPI 1104338318 Individual Practitioner Female Practitioner

Dr. Shereece Nichole Wallace , DNP, AGPCNP-BC

Nurse Practitioner • Alton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shereece Wallace, DNP, AGPCNP-BC is a certified Nurse Practitioner practicing in Alton, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Wallace delivers high-quality medical care to the local community at 1 MEMORIAL DR.

Dr. Wallace is affiliated with Fairview Heights Medical Group Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Memorial Dr

Alton, IL 620026722

Telephone 6184637240

Associated Practice Facility / Clinic

🏢 Edward J Harrow Ptr, Alton Pathology Associates Facility NPI 1659354678

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Alton, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +0.3 yrs vs City Avg

City Avg: 8.7 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

24 Specialists

Practicing in Alton, IL (4929 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (9 Years) 9 Yrs

Alton Specialty Average (8.7 Years) 8.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	59	$259.37	$63.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	81	$276.00	$109.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	24	$340.19	$96.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$416.00	$145.63
99497 Advance care planning, first 30 minutes	27	27	$170.00	$63.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	401	115	$266.01	$65.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	35	$379.51	$98.51
99238 Hospital discharge day management, 30 minutes or less	35	34	$266.37	$66.76
99239 Hospital discharge day management, more than 30 minutes	33	32	$394.03	$94.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	150	$144.00	$58.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	100	75	$80.00	$32.23
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$144.00	$76.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$205.00	$84.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	256	152	$139.00	$60.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	119	78	$78.00	$32.26
99213 Established patient office or other outpatient visit, typically 15 minutes	29	23	$139.00	$77.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	230	139	$134.00	$61.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	121	85	$75.00	$33.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	20	$193.00	$88.89
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$134.00	$63.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$198.00	$91.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$80.00	$38.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	314	210	$130.00	$61.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	75	$187.00	$87.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	73	$72.00	$32.97
99213 Established patient office or other outpatient visit, typically 15 minutes	49	34	$130.00	$61.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	28	$192.00	$88.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	50	$126.00	$61.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	27	$70.00	$33.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	22	$182.00	$88.05

Medical Specialties & State Licenses

CMS Verified: 2025-09-25

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017027

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License IL 209017027

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License MO 2017038282

Definition to come...

Hospital & Practice Group Affiliations

Fairview Heights Medical Group Sc

4500 Memorial Dr, Belleville, IL 622265360

Phone: 6182576220

Secondary Practice Locations

4500 Memorial Dr

Belleville, IL 622265360

Phone: 6182576220

11155 Dunn Rd Ste 109n

Saint Louis, MO 631366148

Phone: 3149538799

2122 Troy Rd Ste 130

Edwardsville, IL 620252540

Phone: 6188004500

11133 Dunn Rd

Saint Louis, MO 631366163

Phone: 3146535000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Dr. Juletta Avagyan , MD

Hospitalist

NPI 1013278944

Doctor of Medicine (M.D.)

Dr. Matthew Nations , DO

Hospitalist

NPI 1073017638

Doctor of Osteopathic Medicine (D.O.)

Dr. Stanley Sidwell , MD

Internal Medicine

NPI 1073529475

Doctor of Medicine (M.D.)

Dr. Ekanga Petters , MD

Hospitalist

NPI 1144751827

Doctor of Medicine (M.D.)

Dr. Jonathan Burt , MD

Hospitalist

NPI 1215421805

Doctor of Medicine (M.D.)

Dr. Chandni Sinha , MD

Hospitalist

NPI 1265960058

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location September 25, 2025

Registered at 1 MEMORIAL DR, ALTON, IL 620026722 (Tel: 6184637240)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2025

Nurse Practitioner (License #209017027 in IL)

📍

Updated Practice Location March 28, 2024

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360 (Tel: 6182576220)

📍

Updated Business Mailing Address March 28, 2024

Registered at 660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 631418512 (Tel: 3144483791)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Nurse Practitioner (License #2017038282 in MO)

📍

Updated Practice Location January 16, 2023

Registered at 11133 DUNN RD, SAINT LOUIS, MO 631366163 (Tel: 3146535000)

📍

Updated Business Mailing Address January 16, 2023

Registered at 11133 DUNN RD, SAINT LOUIS, MO 631366163 (Tel: 3146535000)

👤

Provider Name / Credentials Updated January 16, 2023

Recorded as SHEREECE WALLACE, DNP, AGPCNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2023

Nurse Practitioner (License #209017027 in IL)

📍

Updated Business Mailing Address August 17, 2021

Registered at 11155 DUNN RD STE 109N, SAINT LOUIS, MO 631366148 (Tel: 3149538799)

✅

NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2017

Registered at 11155 DUNN RD STE 109N, SAINT LOUIS, MO 631366148 (Tel: 3149538799)

📍

Updated Business Mailing Address October 27, 2017

Registered at 670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 631418573 (Tel: 3149538799)

👤

Provider Name / Credentials Updated October 27, 2017

Recorded as SHEREECE WALLACE, AGPCNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Nurse Practitioner (License #2017038282 in MO)

🟢

Initial NPI Registration & Enumeration October 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104338318

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2017

Last Update: September 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

660 Mason Ridge Center Dr Ste 300

Saint Louis, MO 631418512

Phone: 3144483791

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.