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Active NPI 1720007156 Individual Practitioner Male Practitioner

Robert Eric Wallace , APN

Nurse Practitioner - Family • Macomb, IL

Professional Overview & Biography Verified Profile Summary

Robert Wallace, APN is a registered healthcare professional specializing in Nurse Practitioner - Family in Macomb, IL. Practice services are available at 1 UNIVERSITY CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 University Cir

Macomb, IL 614551367

Telephone 3092981888
Fax 3092982188
Associated Practice Facility / Clinic
🏢 Beu Health Center Pharmacy Facility NPI 1750400297

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Macomb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Macomb, IL (7705 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
Bonnie Bartlett , APN

Nurse Practitioner - Pediatrics

NPI 1043367295

Advanced Practice Nurse

NPI 1124392105

Advanced Practice Nurse, Family Nurse Practitioner (Board Certified)

Rosalyn Kalantari , APN

Nurse Practitioner - Women's Health

NPI 1184774879

Advanced Practice Nurse

Shanna Krause , ANP-FNP-BC

Nurse Practitioner - Family

NPI 1336480490

ANPFNPBC

Dr. Edward Baker , MD

Family Medicine

NPI 1518029701

Doctor of Medicine (M.D.)

NPI 1538261912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1 UNIVERSITY CIR, MACOMB, IL 614551367 (Tel: 3092981888)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1 UNIVERSITY CIR, MACOMB, IL 614551367 (Tel: 3092981888)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT WALLACE, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner

🟢
Initial NPI Registration & Enumeration July 18, 2006

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: 1720007156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1 University Cir

Macomb, IL 614551367

Phone: 3092981888

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.