Penny Sue Wallman

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704167228 Issued in MI

Practice address

735 E Chicago St
Bronson, MI 49028-1349

Phone

(517) 858-1400

Fax

(517) 858-1403

NPI assigned

May 25, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillsdale Pulmonary Critical Care and Sleep Medicine PCGroup PAC ID 1153402938, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
• Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
• Sturgis Hospital Hospital, Sturgis, MI, CCN 230779

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: penny.wallman.p1@direct.hillsdalepulmanry.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD
• Direct secure messaging: pwallman627229@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hillsdale Pulmonary Critical Care and Sleep Medicine PC

  • Pulmonary Disease Physician
  • Hillsdale, MI
  • NPI 1730361254
  Medicare reassignment Care Compare group NPD
• Advanced Veins and Vascular Management PLC

  • Vascular Surgery Physician
  • Hillsdale, MI
  • NPI 1972158566
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation
• Sturgis Hospital, Inc.

  • Rural Acute Care Hospital
  • Sturgis, MI
  • NPI 1598099699
  Care Compare affiliation
• W.a. Foote Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MI
  • NPI 1053403402
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1346698941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328524",
            "telephone_number": "269-467-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E CHICAGO ST",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490281349",
            "telephone_number": "517-858-1400",
            "fax_number": "517-858-1403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 E Main St",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MI",
            "postal_code": "490328524",
            "country_code": "US",
            "telephone_number": "269-467-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLMAN",
        "first_name": "PENNY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704167228",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28167664A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704167228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quest Health Systems IV, PLLC
• Chante Rebecca Joe Shine
• Allison Nicole Sikorski
• Skaggs Assisted Living, LLC.
• Ronald Temple, D.C.

• Primary Care Nurse Practitioner in Bronson, MI
• Providers in Bronson, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.