MRS. JOANNE WALLIS ANP
NPI 1265437172
Nurse Practitioner - Family in Warm Springs, OR

Q: What is Joanne Wallis's NPI number?

The NPI number for Joanne Wallis is 1265437172. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Joanne Wallis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joanne Wallis was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since June 16, 2005PECOS Enrolled

1270 KOT-NUM ROAD, WARM SPRINGS, OR 97761(541) 553-1196(541) 553-2135 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Joanne Wallis Anp NPPES

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

MRS. JOANNE WALLIS ANP (NPI 1265437172) is an individual family provider in Warm Springs, Oregon, licensed in Alaska (389) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265437172

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JOANNE WALLISCredential: ANP

Location Address1270 KOT-NUM ROADWarm Springs, OR 97761-1209

Mailing Address1270 Kot-num RoadWarm Springs, OR 97761-1209 · (541) 553-1196 · Fax (541) 553-2135

Phone(541) 553-1196

Fax(541) 553-2135

Sole ProprietorYes

Enumeration DateJune 16, 2005

Last NPPES UpdateFebruary 2, 2017

✔ NPI 1265437172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AK · 389✔ Licensed in VA · 0017139524

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 0017139524 (VA), 389 (AK)

1270 KOT-NUM ROAD, Warm Springs, OR 97761

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Joanne Wallis Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97761 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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Other Providers at the Same Location NPPES 16

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

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