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MRS. DEANNA ELENA WALLACE PA-C
NPI 1861631004
Physician Assistant - Medical in Sugar Land, TX

Active since February 11, 2009PECOS Enrolled
7616 BRANFORD PL STE 320, SUGAR LAND, TX 77479(819) 801-7422 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Deanna Elena Wallace Pa-c NPPES

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

MRS. DEANNA ELENA WALLACE PA-C (NPI 1861631004) is an individual medical provider in Sugar Land, Texas and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861631004
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. DEANNA ELENA WALLACECredential: PA-C
Location Address7616 BRANFORD PL STE 320Sugar Land, TX 77479-3794
Mailing Address12553 Gulf FwyHouston, TX 77034-4509 · (281) 481-8557 · Fax (281) 481-2676
Phone(819) 801-7422
Sole ProprietorNo
Enumeration DateFebruary 11, 2009
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1861631004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
7616 BRANFORD PL STE 320, Sugar Land, TX 77479
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deanna Elena Wallace Pa-c 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.

Other Providers at the Same Location NPPES 5

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

DR. NASHA KARIM NENSEY M.D.
Internal Medicine (Rheumatology)
7616 BRANFORD PL STE 320
SUGAR LAND, TX 77479
Fort Bend County (818) 203-1842
DR. RYAN ALAN VALICEK M.D.
Internal Medicine (Rheumatology)
7616 BRANFORD PL STE 320
SUGAR LAND, TX 77479
Fort Bend County (281) 980-1742
DR. JESUS EDWARD HERNANDEZ M.D.
Specialist
7616 BRANFORD PL STE 320
SUGAR LAND, TX 77479
Fort Bend County (281) 980-1742
MARIE VO DPT
Physical Therapist
7616 BRANFORD PL STE 320
SUGAR LAND, TX 77479
Fort Bend County (281) 980-1742
FORT BEND RHEUMATOLOGY ASSOCIATES PLLC
Specialist
7616 BRANFORD PL STE 320
SUGAR LAND, TX 77479
Fort Bend County (281) 980-1742

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 Deanna Wallace's NPI number?

The NPI number for Deanna Wallace is 1861631004. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Where is Deanna Wallace located?

Deanna Wallace practices at 7616 Branford Pl Ste 320, Sugar Land, TX 77479. The listed phone number is (819) 801-7422.

What is Deanna Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Deanna Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Deanna Wallace was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.