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LATOYA M. WALLACE PA
NPI 1073764114
Physician Assistant in Pensacola, FL

Active since October 07, 2008PECOS Enrolled
1010 N 12TH AVE STE 125, PENSACOLA, FL 32501(850) 361-8598(850) 203-4629 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Feb 15, 2017, Mar 1, 2016 (3 updates tracked since 2016).

About Latoya M. Wallace Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATOYA M. WALLACE PA (NPI 1073764114) is an individual physician assistant in Pensacola, Florida, licensed in Florida (PA9109974) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pensacola.

NPPES Registry Identity

NPI1073764114
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLATOYA M. WALLACECredential: PA
Location Address1010 N 12TH AVE STE 125Pensacola, FL 32501-3315
Mailing Address1010 N 12th AvePensacola, FL 32501-3370 · (410) 908-7714 · Fax (850) 203-4629
Phone(850) 361-8598
Fax(850) 203-4629
Sole ProprietorNo
Enumeration DateOctober 7, 2008
Last NPPES UpdateApril 15, 20203 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1073764114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9109974
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9109974 (FL)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4254 (AZ)
1010 N 12TH AVE STE 125, Pensacola, FL 32501
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Secondary Practice Location 1

Location 11717 N E St, 208Pensacola, FL 32501-6339 · Phone (850) 469-7771

Other Identifiers 1

OtherZA98WFL · Bcbsfl

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latoya M. Wallace Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACCESS TO CARE, P.A.
Physician Assistant (Medical)
1010 N 12TH AVE STE 125
PENSACOLA, FL 32501
Escambia County (850) 361-8598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latoya Wallace's NPI number?

The NPI number for Latoya Wallace is 1073764114. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Latoya Wallace located?

Latoya Wallace practices at 1010 N 12th Ave Ste 125, Pensacola, FL 32501. The listed phone number is (850) 361-8598.

What is Latoya Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Latoya Wallace enrolled in Medicare?

Yes. Latoya Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latoya Wallace was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.