Stephanie Mary Wallace, MD
NPI 1639304736ActiveIndividual· Anesthesiology· Appleton, WI
Anesthesiology (MD) in Appleton, Wisconsin, trained at Medical College of Wisconsin (class of 2009). Medicare paid $11,929 for services to 60 patients in 2024. Ars Pharmaceuticals Operations, Inc. reported $18.14 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1639304736 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 19, 2009 |
| Last updated in NPPES | Oct 26, 2023 |
| Certified by provider | Oct 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 60446 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 87 across 40 procedure codes |
| Paid by Medicare | $11,929 |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Anesthesiology |
Medical groups
- Agnesian Healthcare IncWaupun, WI · 388 clinicians
- Green Bay Anesthesia Assoc. SCGreen Bay, WI · 73 clinicians
- Bellin Anesthesia Associates SCGreen Bay, WI · 35 clinicians
Hospital affiliations
- Bellin Memorial HospitalGreen Bay, WI
- Ssm Health St Agnes Hospital-Fond Du LacFond Du Lac, WI
- St Vincent HospitalGreen Bay, WI
- Waupun Memorial HospitalWaupun, WI
Industry payments (Open Payments)
- 2025$18.14 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ars Pharmaceuticals Operations, Inc. | $18.14 | 1 |
What the 2025 payments were for
- Food and Beverage$18.14 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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