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, and ordering and referring status from the CMS PECOS system.
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.
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
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.
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
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972352821) · Data from the CMS NPPES public registry.