DR. NICOLE MARIE WALLIS MD
NPI 1346443728
Emergency Medicine in Wabasha, MN
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Nicole Wallis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wabasha, MN 55981
- Reassigned Medicare billing, Minnesota enrollment
- 147 clinicians in this Medicare group
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Cleveland, OH 44109
- Reassigned Medicare billing, Ohio enrollment
- 2,147 clinicians in this Medicare group
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 10 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.
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.
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, MNAkron General Medical Center
Acute Care Hospitals · Akron, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHCleveland Clinic Avon Hospital
Acute Care Hospitals · Avon, OHBellin Memorial Hospital
Acute Care Hospitals · Green Bay, WIPhysician 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.
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.
WABASHA, MN 55981
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 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.
Where is Nicole Wallis located?
Nicole Wallis practices at 1200 Grant Blvd W, Wabasha, MN 55981. The listed phone number is (651) 565-4531.
What is Nicole Wallis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nicole Wallis enrolled in Medicare?
Yes. Nicole 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 Nicole Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wallis reassigns Medicare benefits to 4 organizations: Saint Elizabeths Hospital Of Wabasha Inc (Wabasha, MN), The Cleveland Clinic Foundation (Avon, OH), The Metrohealth System (Cleveland, OH) and Cleveland Clinic Health Services Professional Association, Inc (Cleveland, OH). 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 Nicole Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicole Wallis affiliated with any hospitals?
According to CMS data, Nicole Wallis is affiliated with St Elizabeth Medical Center, Akron General Medical Center, Cleveland Clinic, Cleveland Clinic Avon Hospital and Bellin Memorial Hospital.
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.
# Dr. Nicole Marie Wallis, MD · NPI 1346443728
Emergency Medicine physician in Wabasha, Minnesota. Individual provider, active in the CMS NPPES registry since June 6, 2007.
## Identity
- **NPI:** 1346443728 (Entity type: Individual)
- **Enumerated:** June 6, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 70944 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 GRANT BLVD W, Wabasha, MN 55981-1042
- **Phone:** (651) 565-4531
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Saint Elizabeths Hospital Of Wabasha Inc (NPI 1053346825, Wabasha, MN); The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH); The Metrohealth System (NPI 1053353896, Cleveland, OH); Cleveland Clinic Health Services Professional Association, Inc (NPI 1770082471, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 12, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1346443728) · Data from the CMS NPPES public registry.