Jelisa Wallace, CRNP
- Medicare patients, 2024
- 94
- Hospital affiliations
- 1
- Medical groups
- 2
- State license
- 1
- Year NPI issued
- 2020
- Practice address
- 10s418 Carrington Cir, Willowbrook, IL 60527
- Practice phone
- Call (410) 687-1383
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Comprehensive Rehab Consultants - Willowbrook
Physical therapy & rehab practice · Willowbrook, Illinois
Find Jelisa Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jelisa Wallace is a family nurse practitioner in Willowbrook, Illinois
Jelisa Wallace practices at Comprehensive Rehab Consultants - Willowbrook in Willowbrook, Illinois.
Jelisa Wallace's NPI, 1649889478, was assigned on July 28, 2020. Jelisa Wallace holds Alabama license F06200386.
- NPI
- 1649889478NPI Registry (opens in a new tab)
- NPI enumeration date
- July 28, 2020
- NPI status
- Active
- Practice phone
- (410) 687-1383
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 33
- Medical school graduation
- 2019
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Jelisa Wallace practices at Comprehensive Rehab Consultants - Willowbrook in Willowbrook, Illinois
Jelisa Wallace's primary practice is Comprehensive Rehab Consultants - Willowbrook, at 10s418 Carrington Cir, Willowbrook, IL 60527. The practice phone is (410) 687-1383.
- Comprehensive Rehab Consultants - Willowbrook10s418 Carrington Cir, Willowbrook, IL 60527Phone(410) 687-1383
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Jelisa Wallace is affiliated with 2 sites of care and 2 medical groups
Jelisa Wallace's primary practice is Comprehensive Rehab Consultants - Willowbrook in Willowbrook, Illinois. Jelisa Wallace is also affiliated with Huntsville Hospital. The medical group on file is Comprehensive Rehab Consultants (CRC). Dmand AI also links Jelisa Wallace to 1 more medical group, named with a free account.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Jelisa Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jelisa Wallace practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Comprehensive Rehab Consultants - Willowbrook | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Jelisa Wallace is one of 7,275 family nurse practitioners in Illinois
Family is Jelisa Wallace's primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Jelisa Wallace is licensed in Alabama.
Specialties and state licenses
- Family nurse practitioner, AlabamaPrimary
Family nurse practitioners near Jelisa Wallace
Counts of family nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jelisa Wallace treated 94 Medicare patients in 2024, average age 75
CMS counts 94 Medicare patients who saw Jelisa Wallace in 2024. The largest group is 75 to 84, with 31 patients. 75% of them have high blood pressure, and 74% have high cholesterol. 78% are also on Medicaid. Their average risk score is 2.25, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Jelisa Wallace's median patient age at 47, with 0% women.
Jelisa Wallace's Medicare patients by age, 2024
Jelisa Wallace's Medicare patients by sex, 2024
- Women5154%
- Men4346%
Chronic conditions among Jelisa Wallace's Medicare patients, 2024
- High blood pressure75%
- High cholesterol74%
- Alzheimer's and dementia65%
- Arthritis62%
- Mood disorders59%
- Diabetes55%
- Anxiety48%
- COPD48%
Share of Medicare patients with each condition. A patient can have several.
Jelisa Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 47
Patient panel by sex, all payers
- Women0%
- Men100%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Sources for Jelisa Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jelisa Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jelisa Wallace's NPI number?
Jelisa Wallace's NPI number is 1649889478. It was assigned on July 28, 2020, and it is active in the NPI Registry.
What does Jelisa Wallace specialize in?
Jelisa Wallace is a family nurse practitioner in Willowbrook, Illinois. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).
Where does Jelisa Wallace practice?
Jelisa Wallace practices at 10s418 Carrington Cir, Willowbrook, IL 60527. Jelisa Wallace's primary practice is Comprehensive Rehab Consultants - Willowbrook in Willowbrook, Illinois. Dmand AI also links Jelisa Wallace to 1 medical group.
What is Jelisa Wallace's office phone number?
The practice phone on file for Jelisa Wallace is (410) 687-1383.
What is Jelisa Wallace's medical license number?
Jelisa Wallace holds Alabama license F06200386.
Which hospitals is Jelisa Wallace affiliated with?
Jelisa Wallace is affiliated with Huntsville Hospital.
What medical group is Jelisa Wallace part of?
Jelisa Wallace is linked to Comprehensive Rehab Consultants (CRC). Dmand AI links Jelisa Wallace to 1 more medical group.
How many Medicare patients does Jelisa Wallace see?
CMS counts 94 Medicare patients who saw Jelisa Wallace in 2024, with an average age of 75.
How long has Jelisa Wallace been practicing?
Jelisa Wallace graduated from medical school in 2019, 7 years ago.
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