Dionne H. Wallace, CNP
NPI 1417456989ActiveIndividual· Nurse Practitioner, Family· Maumelle, AR
Nurse Practitioner, Family (CNP) with St Vincent Medical Group and 1 other group, practicing in Maumelle, Arkansas. In 2024 Medicare paid $43,114 for 418 patients, and Part D covered 923 of their prescriptions, 86% of them generic. Phathom Pharmaceuticals, Inc. was the largest of 9 companies reporting payments in 2025, $701.31 in all, mostly food and beverage. Lists Chi St. Vincent Hospital Hot Springs as a hospital affiliation.
Overview
| NPI | 1417456989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Feb 9, 2018 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | A005504 | AR |
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 (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 418 |
|---|---|
| Services billed | 1,687 across 67 procedure codes |
| Paid by Medicare | $43,114 |
Part D prescriptions in 2024
| Prescriptions (claims) | 923 · 1,000 30-day fills |
|---|---|
| Patients | 450 |
| Total drug cost | $39,317 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- St Vincent Medical GroupLittle Rock, AR · 240 clinicians
- Urgent Team of Arkansas Physicians LLCRussellville, AR · 155 clinicians
Hospital affiliation
- Chi St. Vincent Hospital Hot SpringsHot Springs, AR
Industry payments (Open Payments)
- 2025$701.31 · 14 payments from 9 companies
- 2024$114.38 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $259.14 | 3 |
| Paratek Pharmaceuticals, Inc. | $134.92 | 3 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $133.46 | 2 |
| Bayer Healthcare Pharmaceuticals Inc. | $92.93 | 1 |
| Xeris Pharmaceuticals, Inc. | $20.19 | 1 |
What the 2025 payments were for
- Food and Beverage$701.31 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Maumelle
- 1184965113
- 1205355526
- 1205580834
- 1245699024
- 1275995383
- 1295235570
- 1700431723
- 1780713214
- 1316414642
- 1316784085
- 1215592464
- 1649508474
All 22 family nurse practitioners in Maumelle · All family nurse practitioners in Arkansas