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

Donnetta Lynn Wallace

Individual provider Family Nurse Practitioner · NPI 1922436914

Donnetta Lynn Wallace is a Nurse Practitioner in Monticello, Minnesota. Qualified in 2013, 13 years ago. Practices with Stellis Health, PA, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2013

Practice location Address checks out

1001 Hart Blvd Ste 100
Monticello, MN 55362-8929
Phone: (763) 295-2921
Fax: (763) 581-9090
Show map & directions

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

Additional practice locations (1)

  • 1700 Highway 25 N, Buffalo, MN 55313-1930 — (763) 684-3678

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 151800-9 (MN)

Record details

NPI number1922436914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2013
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address1700 Highway 25 N, Buffalo, MN 55313-1930

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Stellis Health, Pa — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Monticello