Dane Wallace, NURSE PRACTITIONER
NPI 1528787744 · Family Nurse Practitioner · Edwardsville, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dane Wallace, NURSE PRACTITIONER is a Family Nurse Practitioner provider in Edwardsville, IL (NPI 1528787744).
Provider details
- NPI number
- 1528787744
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209.025563 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
223 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 111 | $152 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 64 | $104 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 33 | $80 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 15 | $113 |
Typical Medicare-allowed amounts for these services range $80–$152 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 49 | 49 |
| Prednisone | 41 | 39 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 32 | 31 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 20 | 20 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 18 | 18 |
| Azithromycin | 17 | 17 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2023-11-06
- Certified
- 2023-11-06
Frequently asked questions
- What is Dane Wallace's NPI number?
- Dane Wallace's National Provider Identifier (NPI) is 1528787744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dane Wallace's specialty?
- Dane Wallace is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dane Wallace located?
- Dane Wallace's practice location on file with NPPES is 529 Hillsboro Ave, Edwardsville, IL 62025-1864.
- What is Dane Wallace's phone number?
- The practice phone number listed in the NPPES registry for Dane Wallace is (217) 621-8675.
- Does Dane Wallace accept Medicare?
- Dane Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dane Wallace's NPI active?
- Yes — Dane Wallace's NPI (1528787744) is active in the NPPES registry as of the last update on 2023-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.