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

Mrs. Quincy Jade Wallis, FNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1750090429

Mrs. Quincy Jade Wallis, FNP-C is a Nurse Practitioner in Ottawa, Kansas. Qualified in 2022, 4 years ago. Practices with Adventhealth Ransom Memorial Inc, a 41-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2022
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

901 S Main St
Ottawa, KS 66067-3315
Phone: (857) 229-8882
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 81556 (KS)

Record details

NPI number1750090429
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 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 Adventhealth Ransom Memorial Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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