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

Marilyn Wallin

Individual provider Adult Health Nurse Practitioner · NPI 1750069092

Marilyn Wallin is a Nurse Practitioner in Jamestown, New York. Qualified in 2023, 3 years ago. Practices with The Chautauqua Center Inc, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

107 Institute St # NA
Jamestown, NY 14701-6628
Phone: (716) 484-4334
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311376 (NY)

Record details

NPI number1750069092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address107 Institute St # Na, Jamestown, NY 14701-6628

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Chautauqua Center Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jamestown