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Donnetta Lynn Wallace

NPI 1922436914ActiveIndividual· Nurse Practitioner, Family· Monticello, MN

Nurse Practitioner, Family with Stellis Health, PA, practicing in Monticello, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $158,219 for 2,038 claims, against $23,637 paid for services in 2024. Lists Centracare Health - Monticello as a hospital affiliation.

Overview

NPI1922436914
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 29, 2013
Last updated in NPPESOct 22, 2026
Certified by providerOct 22, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000XR 151800-9MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients107
Services billed734 across 87 procedure codes
Paid by Medicare$23,637

Part D prescriptions in 2024

Prescriptions (claims)2,038 · 4,114 30-day fills
Patients234
Total drug cost$158,219
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

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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