Lauren Wallis
Nurse Practitioner, Family in Binghamton, NY. Individual provider (NPI-1).
NPI number1679445696
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1679445696
- Entity type
- Individual (NPI-1)
- Name
- Lauren Wallis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2025
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 357599 | NY | Yes |
Practice location
169 Riverside DrBinghamton, NY 13905-4246
Phone 570-904-1213
Mailing address
31 Midwood DrBinghamton, NY 13903-1921
Phone 570-904-1213
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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