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Active NPI 1285050690 Individual Practitioner Male Practitioner

Michael Wallis , NP

Nurse Practitioner • Jennings, LA

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Michael Wallis, NP is a registered Nurse Practitioner practitioner in Jennings, LA. With approximately 21 years of clinical practice since completing medical education in 2005, Michael Wallis provides healthcare services at the registered practice location at 1634 ELTON RD.

Michael Wallis is affiliated with Pcp Urgent Care Holdings Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1634 Elton Rd

Jennings, LA 705463614

Telephone 8008939698
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jennings, LA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +10.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Jennings, LA (948 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallis (21 Years) 21 Yrs
Jennings Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
12 12 $95.00 $45.23

Medical Specialties & State Licenses

CMS Verified: 2020-01-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License LA RN112816

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2356003 (LA)

Hospital & Practice Group Affiliations

Pcp Urgent Care Holdings Llc

2840 Florida St, Baton Rouge, LA 708022721

Phone: 2252242402

Secondary Practice Locations

19900 Old Scenic Hwy Ste H

Zachary, LA 707917368

Phone: 2255702618

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Robert Watson , MD

Emergency Medicine

NPI 1003834193

Doctor of Medicine (M.D.)

NPI 1033176185

Doctor of Medicine (M.D.)

Dr. Dave Daigle , MD

Emergency Medicine

NPI 1033382973

Doctor of Medicine (M.D.)

Dr. Michael Strayer , MD

Emergency Medicine

NPI 1043424021

Doctor of Medicine (M.D.)

Javier Rodriguez , PA

Physician Assistant

NPI 1043455348

Physician Assistant

Bonnie Smith , FNP

Nurse Practitioner - Family

NPI 1053385401

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2014

Registered at 1634 ELTON RD, JENNINGS, LA 705463614 (Tel: 8008939698)

📍
Updated Business Mailing Address March 10, 2014

Registered at 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 705083870

👤
Provider Name / Credentials Updated March 10, 2014

Recorded as MICHAEL WALLIS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2014

Nurse Practitioner (License #RN112816 in LA)

🟢
Initial NPI Registration & Enumeration March 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285050690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2014
Last Update: January 26, 2020
Sole Proprietor: No

Mailing Address

200 Corporate Blvd, Suite 201

Lafayette, LA 705083870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.