Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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.

See every abbreviation used in this directory →

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients18
Services billed 33 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Pcp Urgent Care Holdings LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 50 clinicians in the practice; 12 are shown here.

Other providers in Jennings