Dionne Wallace, CNP
NPI 1417456989 · Family Nurse Practitioner · Maumelle, AR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dionne Wallace, CNP is a Family Nurse Practitioner provider in Maumelle, AR (NPI 1417456989).
Provider details
- NPI number
- 1417456989
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- A005504 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,138 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 249 | $69 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 188 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 171 | $98 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 133 | $41 |
| Automated Urinalysis Test81003 | 101 | $2 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 110 | 103 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 60 | 56 |
| Doxycycline Hyclate | 58 | 55 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 51 | 48 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 38 | 36 |
| Azithromycin | 38 | 36 |
| Prednisone | 33 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$114 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1016 N Fourche AvePerryville, AR 72126-8545Phone: (501) 238-1284
- 106 Highway 62 WSalem, AR 72576-8059Phone: (870) 895-2015Fax: (870) 895-2015
Registry dates
- Enumerated
- 2018-02-09
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Frequently asked questions
- What is Dionne Wallace's NPI number?
- Dionne Wallace's National Provider Identifier (NPI) is 1417456989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dionne Wallace's specialty?
- Dionne Wallace is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dionne Wallace located?
- Dionne Wallace's practice location on file with NPPES is 1900 Club Manor Dr Ste 105, Maumelle, AR 72113-7443.
- What is Dionne Wallace's phone number?
- The practice phone number listed in the NPPES registry for Dionne Wallace is (501) 851-8100.
- Does Dionne Wallace accept Medicare?
- Dionne Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dionne Wallace's NPI active?
- Yes — Dionne Wallace's NPI (1417456989) is active in the NPPES registry as of the last update on 2025-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.