Mrs Quincy Jade Wallis, FNP-C - Medicare Nurse Practitioner in Ottawa, KS

  1. Home
  2. Nurse Practitioner
  3. KS
  4. Ottawa
Mrs Quincy Jade Wallis, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Ottawa, Kansas. Her current practice location is 901 S Main St, Ottawa, Kansas. You can reach out to her office (for appointments etc.) via phone at (857) 229-8882.

Mrs Quincy Jade Wallis is licensed to practice in Kansas (license number 81556) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750090429.

Contact Information

Mrs Quincy Jade Wallis, FNP-C
901 S Main St,
Ottawa, KS 66067-3315
(857) 229-8882
Not Available

Map and Direction




Provider's Profile

Full NameMrs Quincy Jade Wallis
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location901 S Main St, Ottawa, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750090429
  • Provider Enumeration Date: 11/21/2022
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204205032
  • Enrollment ID: I20221216001890

Medical Identifiers

Medical identifiers for Mrs Quincy Jade Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750090429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 81556 (Kansas)Primary

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. Mrs Quincy Jade Wallis allows following entities to bill medicare on her behalf.
Entity NameShawnee Mission Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992735690
PECOS PAC ID: 9537119037
Enrollment ID: O20050701000310
Entity NameAdventhealth Ransom Memorial Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407319957
PECOS PAC ID: 4486996907
Enrollment ID: O20190510001418
Entity NameUk St Francis Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457970782
PECOS PAC ID: 2961827902
Enrollment ID: O20200807000208

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. Mrs Quincy Jade 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
Mrs Quincy Jade Wallis, FNP-C
901 S Main St,
Ottawa, KS 66067-3315

Ph: (857) 229-8882		Mrs Quincy Jade Wallis, FNP-C
901 S Main St,
Ottawa, KS 66067-3315

Ph: (857) 229-8882

Reviews and Comments


Nurse Practitioner Nurses in Ottawa, KS

Gina Peek, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1418 S Main St Ste 5, Ottawa, KS 66067
Phone: 785-242-1620    
Mrs. Jennifer L Miller, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 S Main St, Ottawa, KS 66067
Phone: 913-468-2266    
Susan M Moore, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1418 S Main St Ste 1, Ottawa, KS 66067
Phone: 785-229-3561    Fax: 785-229-3529
Laura Badjalimbe,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 901 S Main St, Ottawa, KS 66067
Phone: 785-229-8882    Fax: 785-229-8883
Ewa Dubois, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 107 S Main St, Ottawa, KS 66067
Phone: 913-401-2750    
Mrs. Sara Rene Cunningham, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1418 S Main St, Suite 5, Ottawa, KS 66067
Phone: 785-242-1620    Fax: 785-242-3825
Mrs. Gentry Harding, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1428 S Main St, Ottawa, KS 66067
Phone: 785-229-8891    

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.