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
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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
- **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.