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JOANNE M WALLIS PNP
NPI 1932370756
Nurse Practitioner - Primary Care in Vancouver, WA

Active since March 19, 2008PECOS Enrolled
19005 SE 34TH ST, VANCOUVER, WA 98683(360) 726-6724(360) 726-6718 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 17, 2017 (2 updates tracked since 2017).

About Joanne M Wallis Pnp NPPES

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

JOANNE M WALLIS PNP (NPI 1932370756) is an individual primary care provider in Vancouver, Washington, licensed in Washington (AP30006123) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1932370756
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJOANNE M WALLISCredential: PNP
Location Address19005 SE 34TH STVancouver, WA 98683-1450
Mailing Address426 Sw Stark St Fl 9Portland, OR 97204-2347 · (503) 988-5958 · Fax (503) 988-4093
Phone(360) 726-6724
Fax(360) 726-6718
Sole ProprietorNo
Enumeration DateMarch 19, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1932370756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in WA · AP30006123
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 091000332N2-PNP-PP (OR)
19005 SE 34TH ST, Vancouver, WA 98683
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Other Names 1

Other Name (5)Jodi M Wallis Pnp

Secondary Practice Location 1

Location 112710 SE Division StPortland, OR 97236-3134 · Phone (503) 988-3601

Other Identifiers 2

Medicaid22959OR
Medicaid022959OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanne M Wallis Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98683 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 19

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

SEA MAR COMMUNITY HEALTH CENTERS
Pharmacy (Community/Retail Pharmacy)
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 726-6750
MARGOT LORRAINE OLIVER MD
Family Medicine
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 726-6720
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 213-1340
ANN MARIE JONSSON RN
Registered Nurse
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 213-1340
KIRANDEEP BRAR
Dentist
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 726-6730
DR. BJORN ALLAN JACOBSON MD
Family Medicine (Sports Medicine)
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 726-6720
BRITTANY SALLEY-RAINS APRN
Nurse Practitioner (Family)
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 726-6720
ALYSSA TRUONG
Nurse Practitioner (Family)
19005 SE 34TH ST
VANCOUVER, WA 98683
Clark County (360) 726-6720

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 Joanne Wallis's NPI number?

The NPI number for Joanne Wallis is 1932370756. It was assigned to this individual provider in the NPPES registry on March 19, 2008. The provider is also known as Jodi M Wallis Pnp.

Where is Joanne Wallis located?

Joanne Wallis practices at 19005 SE 34th St, Vancouver, WA 98683. The listed phone number is (360) 726-6724.

What is Joanne Wallis's specialty?

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

Is Joanne Wallis enrolled in Medicare?

Yes. Joanne Wallis is registered in the Medicare PECOS enrollment system.

What insurance does Joanne Wallis accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Joanne 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 Joanne Wallis was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.