Sean Wallis, NP
NPI 1356980205ActiveIndividual· Nurse Practitioner· Boulder, CO
Nurse Practitioner (NP) with Boulder Community Health, practicing in Boulder, Colorado. In 2024 Medicare paid $53,511 for 388 patients, and Part D covered 354 of their prescriptions, 88% of them generic. Lists Boulder Community Health as a hospital affiliation.
Overview
| NPI | 1356980205 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Dec 24, 2019 |
| Last updated in NPPES | Dec 19, 2023 |
| Certified by provider | Dec 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APN.0995133-NP | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 388 |
|---|---|
| Services billed | 859 across 14 procedure codes |
| Paid by Medicare | $53,511 |
Part D prescriptions in 2024
| Prescriptions (claims) | 354 · 390 30-day fills |
|---|---|
| Patients | 188 |
| Total drug cost | $26,129 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Boulder Community HealthBoise, ID · 264 clinicians
Hospital affiliation
- Boulder Community HealthBoulder, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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