Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Michael Wallis, NP
Nurse Practitioner in Jennings, LA · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1285050690
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Registry record
Entity type Individual (Type 1)
Name Michael Wallis
Credential NP
Sex Male
Practice address 1634 Elton Rd, Jennings, LA, 70546
Phone (800) 893-9698
Enumeration date Mar 10, 2014
Last updated in NPPES Jan 26, 2020
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN112816 (LA) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority.
About the NP credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2356003 | Medicaid | LA | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Michael Wallis?
The National Provider Identifier (NPI) for Michael Wallis is 1285050690, a Type 1 (individual) record in the CMS NPPES registry.
Where does Michael Wallis practice?
The practice location on file with NPPES is in Jennings, LA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Jennings American Legion Hospital, Inc. General Acute Care Hospital · Jennings, LA NPI 1114921160 Jerome Gallien Diagnostic Radiology Physician · Jennings, LA NPI 1417941162 Aldes Rozas Diagnostic Radiology Physician · Jennings, LA NPI 1427042175 Robert Schumacher Diagnostic Radiology Physician · Jennings, LA NPI 1710972211 Jefferson Davis Emergency Group LLC Emergency Medicine Physician · Jennings, LA NPI 1043289572 Jeff Davis Radiology Associates Specialist · Jennings, LA NPI 1154383925 Jeff Davis Imaging Clinical Medical Laboratory · Jennings, LA NPI 1235192352 Michael Marceaux Certified Registered Nurse Anesthetist · Jennings, LA NPI 1861422610
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-26.