MRS. CIJI DEYUANA WALLACE RN-FNP
NPI 1487455036
Nurse Practitioner - Family in Bogalusa, LA
About Mrs. Ciji Deyuana Wallace Rn-fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CIJI DEYUANA WALLACE RN-FNP (NPI 1487455036) is an individual family provider in Bogalusa, Louisiana, licensed in Louisiana (240977) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Ciji Deyuana Wallace Rn-fnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70427 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ciji Wallace's NPI number?
The NPI number for Ciji Wallace is 1487455036. It was assigned to this individual provider in the NPPES registry on March 20, 2025.
Where is Ciji Wallace located?
Ciji Wallace practices at 219 S Border Dr, Bogalusa, LA 70427. The listed phone number is (985) 633-1952.
What is Ciji Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ciji Wallace enrolled in Medicare?
Yes. Ciji 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.
Is Ciji Wallace affiliated with any hospitals?
According to CMS data, Ciji Wallace is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for Ciji Wallace was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
