Jenelle Wallis, APRN - Medicare Nurse Practitioner in Little Rock, AR

Jenelle Wallis, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Little Rock, Arkansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Vincent Infirmary Medical Center and her current practice location is 10100 Kanis Rd, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 255-6000.

Jenelle Wallis is licensed to practice in Arkansas (license number 124001) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386279032.

Contact Information

Jenelle Wallis, APRN
10100 Kanis Rd,
Little Rock, AR 72205-6202
(501) 255-6000
(501) 255-6400

Map and Direction




Provider's Profile

Full NameJenelle Wallis
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location10100 Kanis Rd, Little Rock, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jenelle Wallis graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1386279032
  • Provider Enumeration Date: 03/03/2020
  • Last Update Date: 03/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355779604
  • Enrollment ID: I20200319001400

Medical Identifiers

Medical identifiers for Jenelle Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386279032NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 124001 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi-st Vincent InfirmaryLittle rock, ARHospital
Howard Memorial HospitalNashville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Infirmary Medical Center569867416649

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jenelle Wallis allows following entities to bill medicare on her behalf.
Entity NameSt Vincent Infirmary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316991847
PECOS PAC ID: 5698674166
Enrollment ID: O20040103000052

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenelle Wallis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jenelle Wallis, APRN
10100 Kanis Rd,
Little Rock, AR 72205-6202

Ph: (501) 255-6000
Jenelle Wallis, APRN
10100 Kanis Rd,
Little Rock, AR 72205-6202

Ph: (501) 255-6000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.