Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deanna Wallace, NP

Individual provider Cardiovascular Disease Physician · NPI 1609222579

Deanna Wallace, NP is a Nurse Practitioner in Urbana, Illinois. Qualified in 2016, 10 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

611 W Park Fapc
Urbana, IL 61802
Phone: (217) 902-6954
Fax: (217) 902-7711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1800 E Lake Shore Dr, Decatur, IL 62521-3810 — (217) 422-6100
  • 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521-3800 — (217) 422-6100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014278 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 209.014278 (IL)

Record details

NPI number1609222579
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESDecember 31, 2024
Certification dateDecember 30, 2024
Mailing address611 W Park, Fapc, Urbana, IL 61802

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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