DR. NICOLE MARIE WALLIS MD
NPI 1346443728
Emergency Medicine in Wabasha, MN

Q: What is Nicole Wallis's NPI number?

The NPI number for Nicole Wallis is 1346443728. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Q: What is Nicole Wallis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wallis was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 06, 2007PECOS EnrolledAccepts Medicare Assignment

1200 GRANT BLVD W, WABASHA, MN 55981(651) 565-4531 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, Jul 27, 2020 (2 updates tracked since 2020).

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About Dr. Nicole Marie Wallis Md NPPES

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

DR. NICOLE MARIE WALLIS MD (NPI 1346443728) is an individual emergency medicine provider in Wabasha, Minnesota, licensed in Minnesota (70944) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Medical Center, and maintains a secondary practice location in Akron.

NPPES Registry Identity

NPI1346443728

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. NICOLE MARIE WALLISCredential: MD

Location Address1200 GRANT BLVD WWabasha, MN 55981-1042

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(651) 565-4531

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 6, 2007

Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1346443728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MN · 70944✔ Licensed in OH · 35089618

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1200 GRANT BLVD W, Wabasha, MN 55981

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Secondary Practice Location 1

Location 11 Perkins Sq, Akron Children's HospitalAkron, OH 44308 · Phone (330) 543-8452

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica.Insurance ›

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

Dr. Nicole Marie Wallis Md 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 ID1951401801

PECOS Enrollment IDI20070709000067, I20220726002204

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

88 services85 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

44 services42 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Medical Center

Critical Access Hospitals · Wabasha, MN

OwnershipProprietary

CMS Certification Number241335

Location1200 Grant Blvd WWabasha, MN 55981 · Wabasha County

Emergency services

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55981 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

KURT L HENN PHARMD

Pharmacist