Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Shereece Nichole Wallace , DNP, AGPCNP-BC

Nurse Practitioner โ€ข Alton, IL

Active NPI 1104338318 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1 Memorial Dr
Alton, IL 620026722

Call 6184637240 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Memorial Dr

Alton, IL 620026722

Telephone 6184637240
Organization at the Same NPPES Address or Phone
Edward J Harrow Ptr, Alton Pathology Associates Facility NPI 1659354678

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Belleville, IL; Edwardsville, IL; Saint Louis, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Fairview Heights Medical Group Sc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

188 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $28,219 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $22,282 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

44 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$304 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $34.45 across 2 records.

By nature of payment

  • Food and Beverage: $34.45 across 2 records.

Reporting-company totals

  • Janssen Pharmaceuticals, Inc: $19.67 across 1 record.
  • EMD Serono, Inc.: $14.78 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Alton and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Alton, IL (2024, 20 clinicians with data). Median for this group: 384. Middle half: 140 to 614.

Close to the middle for clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner in Alton, IL (2024, 20 clinicians with data). Median for this group: $29,282. Middle half: $8,719 to $42,992.

A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $21,010. Middle half: $8,652 to $42,014.

Paid by Medicare

Close to the middle for clinicians listed under Nurse Practitioner in Alton, IL (2024, 20 clinicians with data). Median for this group: $22,863. Middle half: $7,031 to $32,046.

A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $15,151. Middle half: $6,396 to $31,322.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Alton, IL (2024, 17 clinicians with data). Median for this group: 580. Middle half: 167 to 1,360.

Fewer Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Alton, IL (2024, 17 clinicians with data). Median for this group: $11,704. Middle half: $2,217 to $67,847.

A lower Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.

24 active clinicians are listed under Nurse Practitioner with a practice address in Alton, IL (4,894 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alton

20.8% of these 24 clinicians have the CMS telehealth indicator.

83.3% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $34.45.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $19.67
EMD Serono, Inc.
Food and Beverage
Cash or cash equivalent
โ€” General $14.78

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
158 59 $259.37 $63.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
81 81 $276.00 $109.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
32 24 $340.19 $96.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
31 31 $416.00 $145.63
99497 Advance care planning, first 30 minutes
27 27 $170.00 $63.09

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Pantoprazole Sodium Pantoprazole Sodium 15 424 $76.49 โ€”
Metoprolol Tartrate Metoprolol Tartrate 14 480 $167.27 โ€”
Furosemide Furosemide 13 390 $60.21 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209017027

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES IL 209017027
Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES MO 2017038282
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20210830003376

Enrollment State Jurisdiction

IL

PECOS Control ID

1557627049

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Fairview Heights Medical Group Sc

4500 Memorial Dr, Belleville, IL 622265360

Phone: 6182576220

Secondary Practice Locations

4500 Memorial Dr

Belleville, IL 622265360

Phone: 6182576220

11155 Dunn Rd Ste 109n

Saint Louis, MO 631366148

Phone: 3149538799

2122 Troy Rd Ste 130

Edwardsville, IL 620252540

Phone: 6188004500

11133 Dunn Rd

Saint Louis, MO 631366163

Phone: 3146535000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
NPI 1528702016

Doctor of Medicine (M.D.)

NPI 1013278944

Doctor of Medicine (M.D.)

NPI 1700174562

Doctor of Medicine (M.D.)

Julie Benhoff , FNP

Nurse Practitioner

NPI 1902130941

Family Nurse Practitioner

NPI 1215421805

Doctor of Medicine (M.D.)

Julie Jackson , FNP

Nurse Practitioner - Family

NPI 1922492271

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
๐Ÿ“
Updated Practice Location September 25, 2025

Registered at 1 MEMORIAL DR, ALTON, IL 620026722 (Tel: 6184637240)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2025

Nurse Practitioner (license number reported to NPPES: IL 209017027)

๐Ÿ“
Updated Practice Location March 28, 2024

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360 (Tel: 6182576220)

๐Ÿ“
Updated Business Mailing Address March 28, 2024

Registered at 660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 631418512 (Tel: 3144483791)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Nurse Practitioner (license number reported to NPPES: MO 2017038282)

๐Ÿ“
Updated Practice Location January 16, 2023

Registered at 11133 DUNN RD, SAINT LOUIS, MO 631366163 (Tel: 3146535000)

๐Ÿ“
Updated Business Mailing Address January 16, 2023

Registered at 11133 DUNN RD, SAINT LOUIS, MO 631366163 (Tel: 3146535000)

๐Ÿ‘ค
Provider Name / Credentials Updated January 16, 2023

Recorded as SHEREECE WALLACE, DNP, AGPCNP-BC

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2023

Nurse Practitioner (license number reported to NPPES: IL 209017027)

๐Ÿ“
Updated Business Mailing Address August 17, 2021

Registered at 11155 DUNN RD STE 109N, SAINT LOUIS, MO 631366148 (Tel: 3149538799)

โœ…
NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 27, 2017

Registered at 11155 DUNN RD STE 109N, SAINT LOUIS, MO 631366148 (Tel: 3149538799)

๐Ÿ“
Business Mailing Address (Initial Record) October 27, 2017

Registered at 670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 631418573 (Tel: 3149538799)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 27, 2017

Recorded as SHEREECE WALLACE, AGPCNP-BC

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Nurse Practitioner (license number reported to NPPES: MO 2017038282)

๐ŸŸข
Initial NPI Registration & Enumeration October 27, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104338318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2017
Last Update: September 25, 2025
Sole Proprietor: No

Other Nurse Practitioners in Alton

All Nurse Practitioners in Alton

Mailing Address

660 Mason Ridge Center Dr Ste 300

Saint Louis, MO 631418512

Phone: 3144483791

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.