Michael Wallis, NP
NPI 1285050690 · Nurse Practitioner · Jennings, LA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Wallis, NP is a Nurse Practitioner provider in Jennings, LA (NPI 1285050690).
Provider details
- NPI number
- 1285050690
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- RN112816 (LA)
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
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 19900 Old Scenic Hwy Ste HZachary, LA 70791-7368Phone: (225) 570-2618Fax: (225) 570-8539
Registry dates
- Enumerated
- 2014-03-10
- Last updated
- 2020-01-26
- Certified
- 2020-01-26
Frequently asked questions
- What is Michael Wallis's NPI number?
- Michael Wallis's National Provider Identifier (NPI) is 1285050690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wallis's specialty?
- Michael Wallis is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Wallis located?
- Michael Wallis's practice location on file with NPPES is 1634 Elton Rd, Jennings, LA 70546-3614.
- What is Michael Wallis's phone number?
- The practice phone number listed in the NPPES registry for Michael Wallis is (800) 893-9698.
- Does Michael Wallis accept Medicare?
- Michael Wallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Wallis's NPI active?
- Yes — Michael Wallis's NPI (1285050690) is active in the NPPES registry as of the last update on 2020-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.