Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALLIS WELLNESS PLLC
NPI 1871459594
Nurse Practitioner - Family in East Bernard, TX

Active since December 26, 2025
933 CLUBSIDE DR, EAST BERNARD, TX 77435(832) 392-5711(877) 682-1933 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Jan 2, 2026, Dec 26, 2025 (3 updates tracked since 2025).

About Wallis Wellness Pllc NPPES

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

WALLIS WELLNESS PLLC (NPI 1871459594) is a healthcare organization registered as a family in East Bernard, Texas and active in the NPI registry since December 2025. The organization lists Jennifer Lindley, Owner, as its authorized official.

NPPES Registry Identity

NPI1871459594
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWALLIS WELLNESS PLLC
Location Address933 CLUBSIDE DREast Bernard, TX 77435
Mailing Address12153 Svoboda RdWallis, TX 77485-8976
Fax(877) 682-1933
Organization SubpartNo
Authorized OfficialJennifer LindleyOwner · (281) 960-4366
Enumeration DateDecember 26, 2025
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1871459594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
933 CLUBSIDE DR, East Bernard, TX 77435

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallis Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wallis Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1003790304
933 CLUBSIDE DR
East Bernard, TX 77435
(832) 392-5711
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wallis Wellness PLLC's NPI number?

The NPI number for Wallis Wellness PLLC is 1871459594. It was assigned to this organization in the NPPES registry on December 26, 2025.

Where is Wallis Wellness PLLC located?

Wallis Wellness PLLC is located at 933 Clubside Dr, East Bernard, TX 77435. The listed phone number is (832) 392-5711.

What is Wallis Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wallis Wellness PLLC enrolled in Medicare?

Yes. Wallis Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wallis Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wallis Wellness PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wallis Wellness PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Wallis Wellness PLLC 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 Wallis Wellness PLLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.