DELESA SHANA KAY WALDEN
NPI 1902413636
Nurse Practitioner - Family in Sun City Center, FL
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
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
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 (PECOS)
Delesa Shana Kay Walden is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
SUN CITY CENTER, FL 33573
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.
What insurance does Delesa Walden accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Molina Healthcare and 2 other insurers 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 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.
# Delesa Shana Kay Walden · NPI 1902413636
Family physician in Sun City Center, Florida. Individual provider, active in the CMS NPPES registry since September 27, 2020.
## Identity
- **NPI:** 1902413636 (Entity type: Individual)
- **Enumerated:** September 27, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11013082 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 717 IMAR DR, Sun City Center, FL 33573-5368
- **Phone:** (813) 634-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 10, 2025
- **Other identifiers:** Medicaid 126782100 (FL); Other SGHC3 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1902413636) · Data from the CMS NPPES public registry.