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Active NPI 1467429860 Individual Practitioner Male Practitioner

William S Wallace , APNP

Nurse Practitioner • West Bend, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

William Wallace, APNP is a certified Nurse Practitioner practicing in West Bend, WI. With approximately 27 years of clinical experience since completing medical education in 1999, William Wallace delivers high-quality medical care to the local community at 1100 GATEWAY CT.

William Wallace is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Gateway Ct

West Bend, WI 530958539

Telephone 2623358600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in West Bend, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +12.6 yrs vs City Avg
City Avg: 14.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
16 Specialists

Practicing in West Bend, WI (4030 Statewide)

Telehealth Adoption Rate
43.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (27 Years) 27 Yrs
West Bend Specialty Average (14.4 Years) 14.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes
120 107 $350.00 $71.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 48 $515.00 $102.29
81003 Automated urinalysis test
28 28 $30.00 $2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
27 27 $510.00 $86.28
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
26 25 $340.00 $139.78

Medical Specialties & State Licenses

CMS Verified: 2025-06-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 2475

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License KS KS44943

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
36030600 (WI)
Medicaid State Provider ID
PENDING (KS)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

1100 Gateway Ct, West Bend, WI 530958539

Phone: 2623358600

Secondary Practice Locations

700 W Central Ave, Suite 105

El Dorado, KS 670422184

Phone: 3163229813

Practice Associates & Co-Workers

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

10 Associated Practitioners
Tammy Schladweiler , APNP

Nurse Practitioner

NPI 1013076223

Advanced Practice Nurse Prescriber

Dr. Jeffrey Brejwo , MD

Internal Medicine

NPI 1124384490

Doctor of Medicine (M.D.)

NPI 1174831150

Advanced Practice Nurse Prescriber

Dr. Jorge Marquez De Leon , MD

Psychiatry & Neurology - Neurology

NPI 1184671869

Doctor of Medicine (M.D.)

NPI 1215042239

Doctor of Osteopathic Medicine (D.O.)

Dr. Michelle Miller , MD

Obstetrics & Gynecology

NPI 1255354940

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 13, 2025

Registered at 1100 GATEWAY CT, WEST BEND, WI 530958539 (Tel: 2623358600)

📍
Updated Business Mailing Address June 13, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 700 W CENTRAL AVE, SUITE 105, EL DORADO, KS 670422184 (Tel: 3163229813)

📍
Updated Business Mailing Address February 10, 2017

Registered at 700 W CENTRAL AVE, SUITE 105, EL DORADO, KS 670422184 (Tel: 3163229813)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as WILLIAM WALLACE, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Nurse Practitioner (License #KS44943 in KS)

NPI Profile Active August 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2013

Registered at 2061 CHEYENNE CT, GRAFTON, WI 530249368 (Tel: 2623761934)

📍
Updated Business Mailing Address August 23, 2013

Registered at 4425 N PORT WASHINGTON RD, CSMCP CLINIC CREDENTIALING, GLENDALE, WI 532121082 (Tel: 2623761934)

👤
Provider Name / Credentials Updated August 23, 2013

Recorded as WILLIAM WALLACE, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2013

Nurse Practitioner (License #2475-33 in WI)

🟢
Initial NPI Registration & Enumeration March 03, 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: 1467429860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2006
Last Update: June 13, 2025
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.