Sarah Jane Wallace, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

78450 Issued in KS

Practice address

4820 N Oak Trfy
Kansas City, MO 64118-4691

Phone

(816) 853-8657

NPI assigned

Dec 11, 2018

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Express LLCGroup PAC ID 5294829248, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15598/brand/1/csg/1/fhir/r4

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

• Urgent Care Express LLC

  dba Urgent Care Express

  • Urgent Care Clinic/Center
  • Saint Joseph, MO
  • NPI 1407063209
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Physician Services - Providence Inc

  dba Providence Medical Group

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213
  Medicare reassignment NPD
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Leavenworth, KS
  • NPI 1972119741
  NPD
• Gladstone Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gladstone, MO
  • NPI 1598143885
  NPD (past)
• Saint Luke's Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1851862270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 4TH ST",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640798458",
            "telephone_number": "816-853-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184691",
            "telephone_number": "816-853-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018039449",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Wallace, MD
• Dustin P Wallace, PHD
• Julie Wallace
• Laura Wallace
• Sabrina Wallace
• Stephen Wallace, LMSW
• Olivia Grace Wallen
• Margaret Waller, M.D.
• Sydney Ann Wallick
• Tara Stratton Wallingford, LSP

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.