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DELESA SHANA KAY WALDEN
NPI 1902413636
Nurse Practitioner - Family in Sun City Center, FL

Active since September 27, 2020PECOS Enrolled
717 IMAR DR, SUN CITY CENTER, FL 33573(813) 634-3500 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2025, Aug 9, 2025, Sep 27, 2020 (3 updates tracked since 2020).

About Delesa Shana Kay Walden NPPES

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

DELESA SHANA KAY WALDEN (NPI 1902413636) is an individual family provider in Sun City Center, Florida, licensed in Florida (APRN11013082) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902413636
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELESA SHANA KAY WALDEN
Location Address717 IMAR DRSun City Center, FL 33573-5368
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038
Phone(813) 634-3500
Sole ProprietorNo
Enumeration DateSeptember 27, 2020
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1902413636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11013082
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9573407 (FL)
717 IMAR DR, Sun City Center, FL 33573
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11325 Lakeland Hills BlvdLakeland, FL 33805-4544 · Phone (813) 821-8034
Location 24016 Sun City Center BlvdSun City Center, FL 33573-5256 · Phone (813) 634-3301

Other Identifiers 2

Medicaid126782100FL
OtherSGHC3FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Delesa Shana Kay Walden 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Delesa Walden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sunshine Neurology PA
0.7 mi
Neurology
1901 HAVERFORD PLAZA, SUITE 109
Sun City Center, FL 33573
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1720172604 (813) 634-3500
University Medical Service Association Inc
15 mi
Cardiovascular Disease
2 TAMPA GENERAL CIR, STC 5TH FLOOR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1154361053 (813) 259-0600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. DEEPALI YOGENDRABHAI JAIN M.D.
Psychiatry & Neurology (Neurology)
717 IMAR DR
SUN CITY CENTER, FL 33573
Hillsborough County (813) 634-3500
KAMLESH P PATEL M.D.
Psychiatry & Neurology (Neurology)
717 IMAR DR
SUN CITY CENTER, FL 33573
Hillsborough County (813) 634-3500
AMANDA DODGE APRN
Nurse Practitioner
717 IMAR DR
SUN CITY CENTER, FL 33573
Hillsborough County (813) 634-3500
SUNSHINE PULMONARY AND SLEEP STUDY P.A.
Specialist
717 IMAR DR
SUN CITY CENTER, FL 33573
Hillsborough County (727) 535-1071
JENNIFER ROBERTS
Nurse Practitioner (Family)
717 IMAR DR
SUN CITY CENTER, FL 33573
Hillsborough County (813) 634-3500

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 Delesa Walden's NPI number?

The NPI number for Delesa Walden is 1902413636. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Where is Delesa Walden located?

Delesa Walden practices at 717 Imar Dr, Sun City Center, FL 33573. The listed phone number is (813) 634-3500.

What is Delesa Walden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Delesa Walden enrolled in Medicare?

Yes. Delesa Walden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Delesa Walden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Delesa Walden reassigns Medicare benefits to 2 organizations: Sunshine Neurology PA (Sun City Center, FL) and University Medical Service Association Inc (Tampa, FL). Each 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 Delesa Walden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Delesa Walden accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Delesa Walden 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 Delesa Walden was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.