Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Marie Wallis, MD

Individual provider Emergency Medicine Physician · NPI 1346443728

Dr. Nicole Marie Wallis, MD is an Emergency Medicine in Wabasha, Minnesota. Qualified in 2004, 22 years ago. Practices with Saint Elizabeths Hospital of Wabasha Inc, a 92-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Ohio.

Years since qualifying
22
Licensed in
MN, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone: (651) 565-4531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Perkins Sq, Akron, OH 44308 — (330) 543-8452

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 70944 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 35089618 (OH)

Record details

NPI number1346443728
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Saint Elizabeths Hospital Of Wabasha Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wabasha