Sara S. Wallis, AGACNP
NPI 1912760141ActiveIndividual· Nurse Practitioner, Acute Care· Decatur, IL
Nurse Practitioner, Acute Care (AGACNP) in Decatur, Illinois, licensed in IL, with an NPI issued in January 2024. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1912760141 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | No |
| NPI issued | Jan 31, 2024 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 209029068 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (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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