Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Holly A Wallace , APNP

Nurse Practitioner โ€ข Summit, WI

Active NPI 1124660592 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

36500 Aurora Dr
Summit, WI 530664899

Call 2624341000 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

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Fax 2624345050
Organization at the Same NPPES Address or Phone
Aurora Health Care Ventures Inc. Facility NPI 1376791020

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 1 additional practice-address record in Waukesha, WI. See the list

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

CMS Doctors and Clinicians lists 2 distinct group names: Aurora Medical Group, Inc.; Watertown Family Practice Associates, 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

2019

Medicare patients

223 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 $30,552 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 $20,834 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

2,460 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

$47,791 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: $92.78 across 5 records.

By nature of payment

  • Food and Beverage: $92.78 across 5 records.

Reporting-company totals

  • ABBVIE INC.: $92.78 across 5 records.

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

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 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

2019

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Holly 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 Holly 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 Summit and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Summit, WI (2024, 20 clinicians with data). Median for this group: 188. Middle half: 132 to 366.

More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Summit, WI (2024, 20 clinicians with data). Median for this group: $16,243. Middle half: $8,047 to $20,967.

A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $13,707. Middle half: $6,114 to $26,154.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Summit, WI (2024, 20 clinicians with data). Median for this group: $11,903. Middle half: $5,866 to $15,436.

A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $10,011. Middle half: $4,480 to $19,097.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Summit, WI (2024, 24 clinicians with data). Median for this group: 308. Middle half: 66 to 1,273.

More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: 327. Middle half: 90 to 1,325.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Summit, WI (2024, 24 clinicians with data). Median for this group: $23,586. Middle half: $413 to $104,072.

Close to the middle for clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: $17,831. Middle half: $1,191 to $147,074.

32 active clinicians are listed under Nurse Practitioner with a practice address in Summit, WI (3,995 in Wisconsin).

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

Telehealth indicator in Summit

31.2% of these 32 clinicians have the CMS telehealth indicator.

71.9% of these 32 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 $92.78.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $26.07
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $18.36
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $16.81
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $16.04
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $15.50

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 2019โ€“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, 2020โ€“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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
205 148 $270.00 $71.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
132 90 $380.00 $102.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
21 21 $390.00 $98.77
81002 Urinalysis, manual test
13 13 $20.00 $3.41
69209 Removal of impacted ear wax by washing
11 11 $75.00 $16.57

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
Atorvastatin Calcium Atorvastatin Calcium 80 6,716 $492.79 31
Amlodipine Besylate Amlodipine Besylate 60 4,120 $294.03 20
Furosemide Furosemide 57 2,190 $229.42 14
Albuterol Sulfate Hfa Albuterol Sulfate 55 1,208 $1,172.75 39
Levothyroxine Sodium Levothyroxine Sodium 52 2,922 $657.28 21
Pantoprazole Sodium Pantoprazole Sodium 51 4,106 $401.27 17
Losartan Potassium Losartan Potassium 42 3,390 $439.33 21
Metformin Hcl Metformin Hcl 41 2,696 $427.12 12
Lisinopril Lisinopril 32 2,685 $188.25 11
Metoprolol Succinate Metoprolol Succinate 32 2,756 $381.68 โ€”
Ventolin Hfa Albuterol Sulfate 30 498 $1,792.95 โ€”
Metformin Hcl Er Metformin Hcl 30 1,890 $244.00 โ€”
Meclizine Hcl Meclizine Hcl 28 485 $213.89 โ€”
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 28 181 $159.95 27
Metoprolol Tartrate Metoprolol Tartrate 27 1,300 $188.46 โ€”
Baclofen Baclofen 27 829 $534.08 โ€”
Cephalexin Cephalexin 26 144 $111.99 25
Methylprednisolone Methylprednisolone 25 150 $139.54 23
Sertraline Hcl Sertraline Hcl 25 1,863 $209.08 13
Citalopram Hbr Citalopram Hydrobromide 24 1,922 $130.10 โ€”
Hydrochlorothiazide Hydrochlorothiazide 24 1,870 $85.93 โ€”
Doxycycline Hyclate Doxycycline Hyclate 23 133 $124.88 22
Chlorthalidone Chlorthalidone 22 930 $698.45 โ€”
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 22 625 $2,298.54 โ€”
Tizanidine Hcl Tizanidine Hcl 22 1,014 $361.98 โ€”

(top 25 shown)

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: 2025-10-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WI 9679

(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.

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: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100094369 (WI)

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

I20191121000030

Enrollment State Jurisdiction

WI

PECOS Control ID

7214369735

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

Watertown Family Practice Associates, Sc

127 Hospital Dr, Watertown, WI 530983303

Phone: 9202618500

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Secondary Practice Locations

2428 N Grandview Blvd Ste 102

Waukesha, WI 531886906

Phone: 2628755070

Clinicians Sharing This Practice Address or Phone

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

40 listed
NPI 1679894901

Doctor of Medicine (M.D.)

Dr. Tulay Aksoy , MD

Internal Medicine

NPI 1245485697

Doctor of Medicine (M.D.)

NPI 1083000863

Doctor of Medicine (M.D.)

Dr. Karina Arkush , MD

Psychiatry & Neurology - Neurology

NPI 1659690741

Doctor of Medicine (M.D.)

NPI 1487819520

Doctor of Medicine (M.D.)

Dr. Lynn Bartl , MD

Neurological Surgery

NPI 1871502476

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
๐Ÿ“
Updated Business Mailing Address October 24, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

๐Ÿ“
Updated Practice Location July 27, 2022

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

๐Ÿ“
Updated Business Mailing Address July 27, 2022

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 2624341000)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Nurse Practitioner (license number reported to NPPES: WI 9679)

โœ…
NPI Profile Active October 17, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 17, 2019

Registered at 2428 N GRANDVIEW BLVD STE 102, WAUKESHA, WI 531886906 (Tel: 2628755070)

๐Ÿ“
Business Mailing Address (Initial Record) October 17, 2019

Registered at 2039 N GLENDALE RD, OCONOMOWOC, WI 530669106 (Tel: 2624901090)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 17, 2019

Recorded as HOLLY WALLACE, APNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2019

Internal Medicine (license number reported to NPPES: WI 9679-33)

๐ŸŸข
Initial NPI Registration & Enumeration October 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124660592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2019
Last Update: October 24, 2025
Sole Proprietor: No

Other Nurse Practitioners in Summit

All Nurse Practitioners in Summit

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.