NICOLE WALLIS
NPI 1629739206
Occupational Therapist in Greenwood, IN
About Nicole Wallis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE WALLIS (NPI 1629739206) is an individual occupational therapist in Greenwood, Indiana and active in the NPI registry since January 2022. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Nicole Wallis 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 Reassignment
Medicare enrollment records show Nicole Wallis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenwood, IN 46143
- Reassigned Medicare billing, Indiana enrollment
- 32 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENWOOD, IN 46143
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 1629739206. It was assigned to this individual provider in the NPPES registry on January 5, 2022.
Where is Nicole Wallis located?
Nicole Wallis practices at 3000 N State Rd 135, Greenwood, IN 46143. The listed phone number is (800) 777-7775.
What is Nicole Wallis's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
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 organization bills Medicare for Nicole Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wallis reassigns Medicare benefits to Chn Jmh Ventures LLC (Greenwood, IN). The 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.
What insurance does Nicole Wallis accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Nicole 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 Nicole Wallis was last updated on January 5, 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.