DEANTHIA RICARA-GIGI WALLACE APRN
NPI 1629764907
Nurse Practitioner - Family in Pensacola, FL
About Deanthia Ricara-gigi Wallace Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEANTHIA RICARA-GIGI WALLACE APRN (NPI 1629764907) is an individual family provider in Pensacola, Florida, licensed in Florida (11024974) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Group Practice 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
Deanthia Ricara-gigi Wallace Aprn 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.
Sacred Heart Hospital
Acute Care Hospitals · Pensacola, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32504 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 Deanthia Wallace's NPI number?
The NPI number for Deanthia Wallace is 1629764907. It was assigned to this individual provider in the NPPES registry on April 11, 2023.
Where is Deanthia Wallace located?
Deanthia Wallace practices at 1545 Airport Blvd # O, Pensacola, FL 32504. The listed phone number is (850) 416-6933.
What is Deanthia Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Deanthia Wallace enrolled in Medicare?
Yes. Deanthia 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 Deanthia Wallace accept?
Health plans from Oscar Health Maintenance Organization of Florida list Deanthia 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.
Is Deanthia Wallace affiliated with any hospitals?
According to CMS data, Deanthia Wallace is affiliated with Sacred Heart Hospital.
When was this NPI record last updated?
The NPPES record for Deanthia Wallace was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Deanthia Ricara-Gigi Wallace, APRN · NPI 1629764907
Family physician in Pensacola, Florida. Individual provider, active in the CMS NPPES registry since April 11, 2023.
## Identity
- **NPI:** 1629764907 (Entity type: Individual)
- **Enumerated:** April 11, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11024974 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1545 AIRPORT BLVD # O, Pensacola, FL 32504-8615
- **Phone:** (850) 416-6933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629764907) · Data from the CMS NPPES public registry.