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

MS. Susan H Wallace, APRN

Individual provider Nurse Practitioner · NPI 1093826497

MS. Susan H Wallace, APRN is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2001, 25 years ago. Accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
25
Licensed in
IA, NE
In the registry since
2006
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

16120 W Dodge Rd
Omaha, NE 68118-2049
Phone: (402) 354-0550
Fax: (402) 354-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 110115 (NE)
Nurse Practitioner Taxonomy 363L00000X · Licence 092180 (IA)

Record details

NPI number1093826497
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 20, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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