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

Michael Wallis, NP

Individual provider Nurse Practitioner · NPI 1285050690

Michael Wallis, NP is a Nurse Practitioner in Jennings, Louisiana. Qualified in 2005, 21 years ago. Practices with Pcp Urgent Care Holdings LLC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
21
Licensed in
LA
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1634 Elton Rd
Jennings, LA 70546-3614
Phone: (800) 893-9698
Show map & directions

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

Additional practice locations (1)

  • 19900 Old Scenic Hwy Ste H, Zachary, LA 70791-7368 — (225) 570-2618

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN112816 (LA)

Record details

NPI number1285050690
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 10, 2014
Last updated in NPPESJanuary 26, 2020
Certification dateJanuary 26, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Pcp Urgent Care Holdings Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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