Molly Wallis, APRN FNP-C
NPI 1053157123 · Family Nurse Practitioner · Daytona Beach, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Molly Wallis, APRN FNP-C is a Family Nurse Practitioner provider in Daytona Beach, FL (NPI 1053157123).
Provider details
- NPI number
- 1053157123
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- APRN11033449 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Frequently asked questions
- What is Molly Wallis's NPI number?
- Molly Wallis's National Provider Identifier (NPI) is 1053157123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Molly Wallis's specialty?
- Molly Wallis is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Molly Wallis located?
- Molly Wallis's practice location on file with NPPES is 1667 N Clyde Morris Blvd Ste 2, Daytona Beach, FL 32117-5500.
- What is Molly Wallis's phone number?
- The practice phone number listed in the NPPES registry for Molly Wallis is (386) 274-1414.
- Does Molly Wallis accept Medicare?
- Molly Wallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Molly Wallis's NPI active?
- Yes — Molly Wallis's NPI (1053157123) is active in the NPPES registry as of the last update on 2025-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.