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MOLLY WALLIS APRN FNP-C
NPI 1053157123
Nurse Practitioner - Family in Daytona Beach, FL

Active since July 08, 2024PECOS EnrolledAccepts Medicare Assignment
1667 N CLYDE MORRIS BLVD STE 2, DAYTONA BEACH, FL 32117(386) 274-1414 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2025, Jul 8, 2024 (2 updates tracked since 2024).

About Molly Wallis Aprn Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY WALLIS APRN FNP-C (NPI 1053157123) is an individual family provider in Daytona Beach, Florida, licensed in Florida (APRN11033449) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053157123
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMOLLY WALLISCredential: APRN FNP-C
Location Address1667 N CLYDE MORRIS BLVD STE 2Daytona Beach, FL 32117-5500
Mailing Address137 Heathrow DrDaytona Beach, FL 32117-3831 · (386) 795-2756
Phone(386) 274-1414
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 8, 2024
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1053157123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11033449
1667 N CLYDE MORRIS BLVD STE 2, Daytona Beach, FL 32117
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Molly Wallis Aprn Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224562137
PECOS Enrollment IDI20241114003940
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Molly Wallis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeside Endocrine Associates, Inc
0.1 mi
Endocrinology, Diabetes & Metabolism
1667 N CLYDE MORRIS BLVD, SUITE 2
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1871041681 (386) 274-1944
Abode Care Partners Al Vb, LLC
377 mi
Nurse Practitioner
4400 BAYOU BLVD STE 54A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1386413607 (800) 807-6555
Abode Care Partners Ltc Vb, LLC
377 mi
Nurse Practitioner
4400 BAYOU BLVD STE 54A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1558130716 (800) 807-6555
Shc Medical Partners Of Florida, LLC
377 mi
Nurse Practitioner
4400 BAYOU BLVD STE 54A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
NPI 1861677064 (800) 807-6555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SHAWN DEMIAN KELLY APRN
Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1414
VERONICA GEMA PELLINO FNP-C
Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Volusia County (386) 518-6401
FRANK R KOHLER JR. D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Volusia County (386) 274-4840
ASHLEY DORAZIO RDMS, MA
Radiologic Technologist (Sonography)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1414
MR. CHESTER KIKLA JR. ARNP
Nurse Practitioner
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Volusia County (386) 274-4840
MISS SABRINA GUZSVANY FNP BC-C
Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Volusia County (863) 518-6401
TAMARA S. MICHAEL APRN
Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Volusia County (865) 186-4013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Wallis's NPI number?

The NPI number for Molly Wallis is 1053157123. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Molly Wallis located?

Molly Wallis practices at 1667 N Clyde Morris Blvd Ste 2, Daytona Beach, FL 32117. The listed phone number is (386) 274-1414.

What is Molly Wallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Molly Wallis enrolled in Medicare?

Yes. Molly Wallis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Molly Wallis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Wallis reassigns Medicare benefits to 4 organizations: Lakeside Endocrine Associates, Inc (Daytona Beach, FL), Abode Care Partners Al Vb, LLC (Pensacola, FL), Abode Care Partners Ltc Vb, LLC (Pensacola, FL) and Shc Medical Partners Of Florida, LLC (Pensacola, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Molly Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Molly Wallis accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Molly Wallis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Molly Wallis affiliated with any hospitals?

According to CMS data, Molly Wallis is affiliated with Adventhealth New Smyrna Beach, Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Molly Wallis was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.