MRS. QUINCY JADE WALLIS FNP-C
NPI 1750090429
Nurse Practitioner - Primary Care in Ottawa, KS

Q: What is Quincy Wallis's NPI number?

The NPI number for Quincy Wallis is 1750090429. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Q: What is Quincy Wallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Quincy Wallis was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 21, 2022PECOS EnrolledAccepts Medicare Assignment

901 S MAIN ST, OTTAWA, KS 66067(857) 229-8882 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 30, 2024, Nov 21, 2022 (2 updates tracked since 2022).

On this page

About Mrs. Quincy Jade Wallis Fnp-c NPPES

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

MRS. QUINCY JADE WALLIS FNP-C (NPI 1750090429) is an individual primary care provider in Ottawa, Kansas, licensed in Kansas (81556) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ottawa, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750090429

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. QUINCY JADE WALLISCredential: FNP-C

Location Address901 S MAIN STOttawa, KS 66067-3315

Mailing Address901 S Main StOttawa, KS 66067-3315 · (857) 229-8882

Phone(857) 229-8882

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 21, 2022

Last NPPES UpdateApril 30, 20242 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1750090429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in KS · 81556

901 S MAIN ST, Ottawa, KS 66067

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mrs. Quincy Jade Wallis Fnp-c 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 ID6204205032

PECOS Enrollment IDI20221216001890

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Ottawa

Acute Care Hospitals · Ottawa, KS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number170014

Location1301 S Main StreetOttawa, KS 66067 · Franklin County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66067 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 12

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

RANSOM MEMORIAL HOSPITAL

General Acute Care Hospital