Dane C. Wallace, NURSE PRACTITIONER
NPI 1528787744ActiveIndividual· Nurse Practitioner, Family· Edwardsville, IL
Nurse Practitioner, Family (NURSE PRACTITIONER) with Cepamerica Illinois LLP and 1 other group, practicing in Edwardsville, Illinois. 236 Medicare patients in 2024, $23,572 paid; nearly all of their 324 Part D prescriptions were generic (95%). Lists Hshs St Elizabeth's Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1528787744 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | Yes |
| NPI issued | Aug 22, 2022 |
| Last updated in NPPES | Nov 6, 2023 |
| Certified by provider | Nov 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209.025563 | IL |
| Nurse Practitioner, Family | 363LF0000X | 2023036829 | 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 | 236 |
|---|---|
| Services billed | 256 across 20 procedure codes |
| Paid by Medicare | $23,572 |
Part D prescriptions in 2024
| Prescriptions (claims) | 324 · 324 30-day fills |
|---|---|
| Patients | 242 |
| Total drug cost | $4,165 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Cepamerica Illinois LLPArlington Heights, IL · 499 clinicians
- Vituity - Illinois Auc LLPO Fallon, IL · 36 clinicians
Hospital affiliations
- Hshs St Elizabeth's HospitalO Fallon, IL
- St Johns HospitalSpringfield, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 family nurse practitioners in Edwardsville · All family nurse practitioners in Illinois