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

Sean Wallis, NP

Individual provider Nurse Practitioner · NPI 1356980205

Sean Wallis, NP is a Nurse Practitioner in Boulder, Colorado. Qualified in 2019, 7 years ago. Practices with Boulder Community Health, a 253-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
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

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone: (303) 415-7000
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APN.0995133-NP (CO)

Record details

NPI number1356980205
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 24, 2019
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address8769 W Cornell Ave Apt 3, Lakewood, CO 80227-4820

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Boulder Community Health — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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