MRS. QUINCY JADE WALLIS FNP-C
NPI 1750090429
Nurse Practitioner - Primary Care in Ottawa, KS
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Quincy Wallis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ottawa, KS 66067
- Reassigned Medicare billing, Kansas enrollment
- 73 clinicians in this Medicare group
Olathe, KS 66062
- Reassigned Medicare billing, Kansas enrollment
- 384 clinicians in this Medicare group
Topeka, KS 66611
- Reassigned Medicare billing, Kansas enrollment
- 41 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 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.
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, KSPhysician 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Quincy Wallis located?
Quincy Wallis practices at 901 S Main St, Ottawa, KS 66067. The listed phone number is (857) 229-8882.
What is Quincy Wallis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Quincy Wallis enrolled in Medicare?
Yes. Quincy 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 Quincy Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Quincy Wallis reassigns Medicare benefits to 3 organizations: Adventhealth Ransom Memorial, Inc. (Ottawa, KS), Shawnee Mission Medical Center Inc (Olathe, KS) and Uk St Francis Urgent Care (Topeka, KS). 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 Quincy Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Quincy Wallis accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 2 other insurers list Quincy 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.
Is Quincy Wallis affiliated with any hospitals?
According to CMS data, Quincy Wallis is affiliated with Adventhealth Ottawa.
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.
# Mrs. Quincy Jade Wallis, FNP-C · NPI 1750090429
Primary Care physician in Ottawa, Kansas. Individual provider, active in the CMS NPPES registry since November 21, 2022.
## Identity
- **NPI:** 1750090429 (Entity type: Individual)
- **Enumerated:** November 21, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 81556 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 S MAIN ST, Ottawa, KS 66067-3315
- **Phone:** (857) 229-8882
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Adventhealth Ransom Memorial, Inc. (NPI 1407319957, Ottawa, KS); Shawnee Mission Medical Center Inc (NPI 1326551144, Olathe, KS); Uk St Francis Urgent Care (NPI 1457970782, Topeka, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750090429) · Data from the CMS NPPES public registry.