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

Jessica Anne Wallis-Bhyravabotla, FNP-C

Individual provider Family Nurse Practitioner · NPI 1962879296

Jessica Anne Wallis-Bhyravabotla, FNP-C is a Nurse Practitioner in Madison, Wisconsin. Qualified in 2015, 11 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-1840
Phone: (608) 265-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7559 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7559 (WI)

Record details

NPI number1962879296
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 21, 2015
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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