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

Mr. William S Wallace, APNP

Individual provider Family Nurse Practitioner · NPI 1467429860

Mr. William S Wallace, APNP is a Nurse Practitioner in West Bend, Wisconsin. Qualified in 1999, 27 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Wisconsin.

Years since qualifying
27
Licensed in
KS, WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1100 Gateway Ct
West Bend, WI 53095-8539
Phone: (262) 335-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 W Central Ave, El Dorado, KS 67042-2184 — (316) 322-9813

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2475 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence KS44943 (KS)

Record details

NPI number1467429860
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Bend