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YELDA N WALLACE
NPI 1629651203
Clinical Neuropsychologist in Tampa, FL

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment
3825 HENDERSON BLVD STE 406, TAMPA, FL 33629(813) 291-7150(855) 318-5403 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2026, Sep 5, 2024, May 3, 2021 (3 updates tracked since 2021).

About Yelda N Wallace NPPES

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

YELDA N WALLACE (NPI 1629651203) is an individual clinical neuropsychologist in Tampa, Florida, licensed in Florida (PY11975) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629651203
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameYELDA N WALLACE
Location Address3825 HENDERSON BLVD STE 406Tampa, FL 33629-5022
Mailing Address1734 Nevada Ave NeSaint Petersburg, FL 33703-3344 · (703) 981-7069
Phone(813) 291-7150
Fax(855) 318-5403
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 3, 2021
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1629651203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY11975
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3825 HENDERSON BLVD STE 406, Tampa, FL 33629
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Other Names 1

Former Name (1)Yelda N Long

Secondary Practice Location 1

Location 12919 W Swann Ave Ste 201Tampa, FL 33609-4050 · Phone (813) 381-5200 · Fax (813) 381-5200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yelda N Wallace 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.

PECOS PAC ID4880122431
PECOS Enrollment IDI20260327002341
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.

Medicare Billing Reassignment

Medicare enrollment records show Yelda Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bay Area Neuropsychology, LLC
1.1 mi
Psychologist
2919 W SWANN AVE STE 201
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1790023851 (813) 381-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. MEAGAN ZEIGER PSY.D.
Psychologist (Clinical)
3825 HENDERSON BLVD STE 406
TAMPA, FL 33629
Hillsborough County (813) 291-7150

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 Yelda Wallace's NPI number?

The NPI number for Yelda Wallace is 1629651203. It was assigned to this individual provider in the NPPES registry on May 3, 2021. The provider is also known as Yelda N Long.

Where is Yelda Wallace located?

Yelda Wallace practices at 3825 Henderson Blvd Ste 406, Tampa, FL 33629. The listed phone number is (813) 291-7150.

What is Yelda Wallace's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Yelda Wallace enrolled in Medicare?

Yes. Yelda 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.

Which organization bills Medicare for Yelda Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yelda Wallace reassigns Medicare benefits to Bay Area Neuropsychology, LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yelda Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yelda Wallace accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 2 other insurers list Yelda 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 Yelda Wallace was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.