DONNA J WALLIS (W.H.N.P.) – Women's Health Nurse Practitioner, NPI 1851313191
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
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Provider Addresses for DONNA J WALLIS (W.H.N.P.)
45, Sycamore Street, Jackson, Madison County, Tennessee, 38301, United States
JACKSON, TN 383053618
Phone: (731) 660-8300
Fax: (731) 660-8301
Type: Location
145 INNOVATION DR
JACKSON, TN 383053019
Phone: (731) 422-0213
Fax: (731) 660-8301
Type: Location
400, Jackson County, Oregon, United States
JACKSON, TN 383020400
Phone: (731) 423-5752
Fax: (731) 425-5783
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061011000227 | I | Nurse Practitioner | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| E N D O C R I N O L O G Y | TN | |
| - | TN | |
| - | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| O P T O M E T R Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
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