IndividualActive
Jacque Wallis, RN
NPI 1114546413 · Registered Nurse · Fort Collins, CO
Jacque Wallis, RN is a Registered Nurse provider in Fort Collins, CO (NPI 1114546413).
Provider details
- NPI number
- 1114546413
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 88881 (CO)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
1217 Riverside Ave
Fort Collins, CO 80524-3218
Phone: (970) 494-4200
Street-level locationGet directions
Mailing address
4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540
Registry dates
- Enumerated
- 2020-04-16
- Last updated
- 2020-04-16
- Certified
- 2020-04-16
Frequently asked questions
- What is Jacque Wallis's NPI number?
- Jacque Wallis's National Provider Identifier (NPI) is 1114546413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacque Wallis's specialty?
- Jacque Wallis is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jacque Wallis located?
- Jacque Wallis's practice location on file with NPPES is 1217 Riverside Ave, Fort Collins, CO 80524-3218.
- What is Jacque Wallis's phone number?
- The practice phone number listed in the NPPES registry for Jacque Wallis is (970) 494-4200.
- Is Jacque Wallis's NPI active?
- Yes — Jacque Wallis's NPI (1114546413) is active in the NPPES registry as of the last update on 2020-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.