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

Nanceyanne Tallis

Individual provider Adult Health Nurse Practitioner · NPI 1851069439

Nanceyanne Tallis is a Nurse Practitioner in Ridgewood, New Jersey. Qualified in 2016, 10 years ago. Practices with Valley Physician Services PC, a 592-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2021
Specialties on file
2

Practice location Address checks out

947 Linwood Ave
Ridgewood, NJ 07450-2939
Phone: (201) 803-6559
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 26NJ00649900 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 25NJ00649900 (NJ)

Record details

NPI number1851069439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address947 Linwood Ave, Ridgewood, NJ 07450-2939

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Valley Physician Services Pc — 592 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Ridgewood