CYNEICEYA ANNETTE WALLACE MSN, APRN, AGPCNP-BC
NPI 1972352821
Nurse Practitioner - Adult Health in Greenwood, MS
About Cyneiceya Annette Wallace Msn, Aprn, Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYNEICEYA ANNETTE WALLACE MSN, APRN, AGPCNP-BC (NPI 1972352821) is an individual adult health provider in Greenwood, Mississippi, licensed in Mississippi (906657) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Greenwood Leflore Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Cyneiceya Annette Wallace Msn, Aprn, Agpcnp-bc 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.
Medicare Billing Reassignments
4Medicare enrollment records show Cyneiceya Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, MS 38930
- Reassigned Medicare billing, Mississippi enrollment
- 78 clinicians in this Medicare group
Greenwood, MS 38930
- Reassigned Medicare billing, Mississippi enrollment
- 6 clinicians in this Medicare group
Yazoo City, MS 39194
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Kosciusko, MS 39090
- Reassigned Medicare billing, Mississippi enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Greenwood Leflore Hospital
Acute Care Hospitals · Greenwood, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38930 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENWOOD, MS 38930
GREENWOOD, MS 38930
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 Cyneiceya Wallace's NPI number?
The NPI number for Cyneiceya Wallace is 1972352821. It was assigned to this individual provider in the NPPES registry on May 14, 2024.
Where is Cyneiceya Wallace located?
Cyneiceya Wallace practices at 1401 River Rd, Greenwood, MS 38930. The listed phone number is (662) 459-7000.
What is Cyneiceya Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Cyneiceya Wallace enrolled in Medicare?
Yes. Cyneiceya 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 organizations bill Medicare for Cyneiceya Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cyneiceya Wallace reassigns Medicare benefits to 4 organizations: Greenwood Leflore Hospital (Greenwood, MS), Walnut Creek Physician Services, LLC (Greenwood, MS), Yazoo Emergency Group, LLC (Yazoo City, MS) and Attala Emergency Group LLC (Kosciusko, MS). 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 Cyneiceya Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Cyneiceya Wallace affiliated with any hospitals?
According to CMS data, Cyneiceya Wallace is affiliated with Greenwood Leflore Hospital.
When was this NPI record last updated?
The NPPES record for Cyneiceya Wallace was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cyneiceya Annette Wallace, MSN, APRN, AGPCNP-BC · NPI 1972352821
Adult Health physician in Greenwood, Mississippi. Individual provider, active in the CMS NPPES registry since May 14, 2024.
## Identity
- **NPI:** 1972352821 (Entity type: Individual)
- **Enumerated:** May 14, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 906657 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 RIVER RD, Greenwood, MS 38930-4030
- **Phone:** (662) 459-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Greenwood Leflore Hospital (NPI 1861670911, Greenwood, MS); Walnut Creek Physician Services, LLC (NPI 1730014390, Greenwood, MS); Yazoo Emergency Group, LLC (NPI 1447806914, Yazoo City, MS); Attala Emergency Group LLC (NPI 1407103294, Kosciusko, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 14, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1972352821) · Data from the CMS NPPES public registry.