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

Jessica Lynn Wallner, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1972210540

Jessica Lynn Wallner, FNP-BC is a Nurse Practitioner in Los Lunas, New Mexico. Qualified in 2022, 4 years ago. Practices with Bella Vida Health Care and Medi Spa, a 13-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
4
Licensed in
NM
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

328 Main St NE
Los Lunas, NM 87031-7454
Phone: (505) 916-5446
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 70462 (NM)

Record details

NPI number1972210540
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bella Vida Health Care And Medi Spa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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