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Active NPI 1164909339 Individual Practitioner Female Practitioner

Sonny S Wallace , NP

Nurse Practitioner • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sonny Wallace, NP is a certified Nurse Practitioner practicing in Omaha, NE. With approximately 8 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2018, Sonny Wallace delivers high-quality medical care to the local community at 7500 MERCY RD.

Sonny Wallace is affiliated with Alegent Creighton Clinic 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 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

7500 Mercy Rd

Omaha, NE 681242319

Telephone 8555244001
Fax 4023985589
Associated Practice Facility / Clinic
🏢 Critical Care Associates Llp Facility NPI 1750324885

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Omaha, NE

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
556 Specialists

Practicing in Omaha, NE (993 Statewide)

Telehealth Adoption Rate
9.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (8 Years) 8 Yrs
Omaha Specialty Average (10.2 Years) 10.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
99 55 $336.00 $92.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
30 30 $490.00 $134.51

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NE 112565

(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

NUCC Taxonomy Code: 363L00000X

State License IA H152173

(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.

Hospital & Practice Group Affiliations

Alegent Creighton Clinic

800 Mercy Dr, Council Bluffs, IA 515033128

Phone: 7123285490

Alegent Creighton Clinic

7500 Mercy Rd, Omaha, NE 681242319

Phone: 4023985580

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1033550421

Doctor of Medicine (M.D.)

Kayden Reilly , PA-C

Physician Assistant

NPI 1043091804

Physician Assistant (Certified)

NPI 1043653108

Doctor of Osteopathic Medicine (D.O.)

Courtney Brackin , PA-C

Physician Assistant

NPI 1053017335

Physician Assistant (Certified)

Dr. Alexa Johnson , DNP

Nurse Practitioner - Acute Care

NPI 1073246187

Doctor of Nursing Practice

Mary Hall , PA-C

Physician Assistant

NPI 1104285865

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Nurse Practitioner (License #H152173 in IA)

NPI Profile Active July 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2018

Registered at 7500 MERCY RD, OMAHA, NE 681242319 (Tel: 8555244001)

📍
Updated Business Mailing Address July 20, 2018

Registered at 7500 MERCY RD, OMAHA, NE 681242319 (Tel: 8555244001)

👤
Provider Name / Credentials Updated July 20, 2018

Recorded as SONNY WALLACE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2018

Nurse Practitioner (License #112565 in NE)

🟢
Initial NPI Registration & Enumeration July 20, 2018

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: 1164909339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2018
Last Update: September 20, 2018
Sole Proprietor: No

Mailing Address

7500 Mercy Rd

Omaha, NE 681242319

Phone: 8555244001

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.