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MS. MELISSA KAY WALLIS AGNP
NPI 1346705993
Nurse Practitioner in Saint Louis, MO

Active since February 07, 2019
4921 PARKVIEW PL, DIV NEURO SURG, STE 6B/6C, SAINT LOUIS, MO 63110(314) 362-3577(314) 362-2107 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Feb 7, 2019 (3 updates tracked since 2019).

About Ms. Melissa Kay Wallis Agnp NPPES

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

MS. MELISSA KAY WALLIS AGNP (NPI 1346705993) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2019005399) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1346705993
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MELISSA KAY WALLISCredential: AGNP
Location Address4921 PARKVIEW PL, DIV NEURO SURG, STE 6B/6CSaint Louis, MO 63110-1032
Mailing Address660 S Euclid Ave, Cb 8057Saint Louis, MO 63110-1010 · (314) 747-6174 · Fax (314) 362-2107
Phone(314) 362-3577
Fax(314) 362-2107
Sole ProprietorNo
Enumeration DateFebruary 7, 2019
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
✔ NPI 1346705993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2019005399
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4921 PARKVIEW PL, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid420070582MO

Accepted Insurance

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

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.

MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
St. Louis City (314) 747-0410
DR. CHARLES PHILLIPS JONES MD
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8200
DR. PRABHA RANGANATHAN MD
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
St. Louis City (314) 286-2635
DR. RALPH GERARD DACEY JR. MD
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
DR. KRASIMIRA MIKHAILOVA MIKHOVA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1291
DR. JEE YOUNG HAN MD
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1408
MS. MAREN JORGENSEN OT
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1669
DR. ADRIAN SHIFREN MD
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8917

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 Melissa Wallis's NPI number?

The NPI number for Melissa Wallis is 1346705993. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Melissa Wallis located?

Melissa Wallis practices at 4921 Parkview Pl Div Neuro Surg, Ste 6b/6c, Saint Louis, MO 63110. The listed phone number is (314) 362-3577.

What is Melissa Wallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Melissa Wallis accept?

Health plans from Medica list Melissa 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 Melissa Wallis was last updated on November 15, 2021. 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.