Sara S Wallis, AGACNP
Sara S Wallis, AGACNP is a Nurse Practitioner in Decatur, Illinois. Qualified in 2023, 3 years ago. Practices with Decatur Memorial Hospital, a 169-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
2300 N Edward StDecatur, IL 62526-4163
Phone: (217) 876-4200
Fax: (217) 876-4209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 209029068 (IL) |
|---|
Record details
| NPI number | 1912760141 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP |
| Sole proprietor | No |
| NPI enumerated | January 31, 2024 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 25, 2024 |
| Mailing address | 2300 N Edward St, Decatur, IL 62526-4163 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Decatur Memorial Hospital — 169 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Decatur
-
Mrs. Courtney Jane Criel, ACNP
2300 N Edward St, Decatur, IL 62526-4192 · (217) 876-4200
-
Cara A Gravlin, ACNP
102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 · (217) 545-8000
-
Joseph Harbourn, ACNPC-AG
2300 N Edward St, Decatur, IL 62526-4192 · (217) 876-8121
-
Katlynn Powers-Pygott
301 W Hay St, Decatur, IL 62526-4162 · (217) 876-6860
-
Ashley Wrigley, RN, MSN, AGACNP-BC
2300 N Edward St, Decatur, IL 62526-4192 · (217) 876-8121