Doctor profile · Federal record
Dr. Phyllis Wallace, APRN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Women's Health Nurse Practitioner · Konawa, OK
- NPI 1366486417
- Accepts Medicare
- 24 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
527 W 3Rd St
Konawa, OK 748491415
(580) 925-3286
fax (580) 925-9149
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- November 22, 2021
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Oklahoma #35497 · Oklahoma #R0035497
- Medicaid
- OK #100155800A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366486417. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
226
Distinct HCPCS
8
Medicare allowed
$2,322
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
80053 |
Blood test, comprehensive group of blood chemicals | 55 | 46 | $10 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 53 | 47 | $8 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 32 | 28 | $13 | |
83036 |
Hemoglobin a1c level | 23 | 12 | $10 | |
96372 |
Injection of drug or substance under skin or into muscle | 17 | 15 | $11 | |
81003 |
Automated urinalysis test | 16 | 16 | $2 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 16 | 16 | $16 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 14 | 14 | $16 |
In context: peer comparison
Among 1 peers in Konawa Family Nurse Practitioner, average services per provider: 28. This provider delivers 8.1× the peer median.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $17.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
935
Patients
241
Total drug cost
$51,946
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lisinopril | Generic | 119 | 34 | $1,125 |
| Simvastatin | Generic | 108 | 24 | $695 |
| Amlodipine Besylate | Generic | 105 | 30 | $601 |
| Levothyroxine Sodium | Generic | 81 | 18 | $1,526 |
| Omeprazole | Generic | 69 | 17 | $719 |
| Atorvastatin Calcium | Generic | 65 | 22 | $792 |
| Gabapentin | Generic | 55 | 16 | $1,124 |
| Hydrochlorothiazide | Generic | 54 | 15 | $417 |
| Meloxicam | Generic | 48 | 12 | $367 |
| Pantoprazole Sodium | Generic | 46 | 13 | $479 |
Frequently asked questions
What is Dr. Phyllis Wallace's medical specialty?
Dr. Phyllis Wallace practices Family Nurse Practitioner in Konawa, OK.
Where does Dr. Phyllis Wallace practice?
Dr. Phyllis Wallace practices at 527 W 3Rd St, Konawa, OK 748491415. Office phone: 5809253286.
What is Dr. Phyllis Wallace's NPI?
Dr. Phyllis Wallace's National Provider Identifier (NPI) is 1366486417, issued by NPPES.
Does Dr. Phyllis Wallace accept Medicare assignment?
Yes. Dr. Phyllis Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Phyllis Wallace commonly perform?
Top Medicare-reported procedures in 2023: Blood test, comprehensive group of blood chemicals (HCPCS 80053); Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS 85025); Blood test, lipids (cholesterol and triglycerides) (HCPCS 80061). Source: CMS Medicare Physician & Other Practitioners file.