MICHAEL WALLIS NP
NPI 1285050690
Nurse Practitioner in Jennings, LA
About Michael Wallis Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL WALLIS NP (NPI 1285050690) is an individual nurse practitioner in Jennings, Louisiana, licensed in Louisiana (RN112816) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Zachary, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Michael Wallis Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show Michael Wallis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jennings, LA 70546
- Reassigned Medicare billing, Louisiana enrollment
- 76 clinicians in this Medicare group
Saint Francisville, LA 70775
- Reassigned Medicare billing, Louisiana enrollment
- 42 clinicians in this Medicare group
Baton Rouge, LA 70802
- Reassigned Medicare billing, Louisiana enrollment
- 44 clinicians in this Medicare group
Zachary, LA 70791
- Reassigned Medicare billing, Louisiana enrollment
- 73 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 197 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JENNINGS, LA 70546
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 Michael Wallis's NPI number?
The NPI number for Michael Wallis is 1285050690. It was assigned to this individual provider in the NPPES registry on March 10, 2014.
Where is Michael Wallis located?
Michael Wallis practices at 1634 Elton Rd, Jennings, LA 70546. The listed phone number is (800) 893-9698.
What is Michael Wallis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Michael Wallis enrolled in Medicare?
Yes. Michael 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 Michael Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wallis reassigns Medicare benefits to 5 organizations: Jefferson Davis Emergency Group LLC (Jennings, LA), The Hospital Service District Of West Feliciana Parish Louisiana (Saint Francisville, LA), Pcp Urgent Care Holdings LLC (Baton Rouge, LA), Hospital Service District 1 Of East Baton Rouge Parish (Zachary, LA) and St Tammany Emergency Physicians Group LLC (Covington, LA). 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 Michael Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Wallis accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list Michael 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.
When was this NPI record last updated?
The NPPES record for Michael Wallis was last updated on January 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Michael Wallis, NP · NPI 1285050690
Nurse Practitioner physician in Jennings, Louisiana. Individual provider, active in the CMS NPPES registry since March 10, 2014.
## Identity
- **NPI:** 1285050690 (Entity type: Individual)
- **Enumerated:** March 10, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN112816 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1634 ELTON RD, Jennings, LA 70546-3614
- **Phone:** (800) 893-9698
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Jefferson Davis Emergency Group LLC (NPI 1043289572, Jennings, LA); The Hospital Service District Of West Feliciana Parish Louisiana (NPI 1164497533, Saint Francisville, LA); Pcp Urgent Care Holdings LLC (NPI 1245601038, Baton Rouge, LA); Hospital Service District 1 Of East Baton Rouge Parish (NPI 1780046508, Zachary, LA); St Tammany Emergency Physicians Group LLC (NPI 1891187654, Covington, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 26, 2020
- **Other identifiers:** Medicaid 2356003 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1285050690) · Data from the CMS NPPES public registry.