Shereece Nichole Wallace, DNP, AGPCNP-BC
NPI 1104338318ActiveIndividual· Nurse Practitioner· Alton, IL
Nurse Practitioner (DNP, AGPCNP-BC) with Fairview Heights Medical Group SC, practicing in Alton, Illinois. In 2024 Medicare paid $23,678 for 188 patients, and Part D covered 168 of their prescriptions, 79% of them generic. Janssen Pharmaceuticals, Inc was the largest of 2 companies reporting payments in 2024, $34.45 in all, mostly food and beverage. Lists Alton Memorial Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1104338318 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, AGPCNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 27, 2017 |
| Last updated in NPPES | Sep 25, 2025 |
| Certified by provider | Sep 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209017027 | IL |
| Nurse Practitioner, Adult Health | 363LA2200X | 209017027 | IL |
| Nurse Practitioner, Adult Health | 363LA2200X | 2017038282 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 188 |
|---|---|
| Services billed | 354 across 9 procedure codes |
| Paid by Medicare | $23,678 |
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 177 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $11,921 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Fairview Heights Medical Group SCAlton, IL · 444 clinicians
Hospital affiliations
- Alton Memorial HospitalAlton, IL
- Barnes Jewish HospitalSaint Louis, MO
- Jersey Community HospitalJerseyville, IL
- Memorial HospitalBelleville, IL
Industry payments (Open Payments)
- 2024$34.45 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $19.67 | 1 |
| Emd Serono, Inc. | $14.78 | 1 |
What the 2024 payments were for
- Food and Beverage$34.45 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 27 nurse practitioners in Alton · All nurse practitioners in Illinois