DR. CESALIE DEONNE WALLACE APN
NPI 1407104052
Nurse Practitioner - Family in Jacksonville, AR
About Dr. Cesalie Deonne Wallace Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CESALIE DEONNE WALLACE APN (NPI 1407104052) is an individual family provider in Jacksonville, Arkansas, licensed in Arkansas (A003758) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Cesalie Deonne Wallace Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Cesalie Wallace's NPI number?
The NPI number for Cesalie Wallace is 1407104052. It was assigned to this individual provider in the NPPES registry on August 29, 2012. The provider is also known as Cesalie D Harriss.
Where is Cesalie Wallace located?
Cesalie Wallace practices at 3000 North First Street, Jacksonville, AR 72076. The listed phone number is (501) 982-7477.
What is Cesalie Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cesalie Wallace enrolled in Medicare?
Yes. Cesalie Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Cesalie Wallace accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Cesalie Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cesalie Wallace was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
