Doctor profile · Federal record
Dr. Deanthia Wallace, APRN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Pensacola, FL
- NPI 1629764907
- Accepts Medicare
- 4 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1545 Airport Blvd # O
Pensacola, FL 325048615
(850) 416-6933
Credentials & registration
- NPI registered
- April 2023 — 3 yrs on file
- Profile last updated
- January 17, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Florida #11024974
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629764907. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$106
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $106.00 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Deanthia Wallace's medical specialty?
Dr. Deanthia Wallace practices Family Nurse Practitioner in Pensacola, FL.
Where does Dr. Deanthia Wallace practice?
Dr. Deanthia Wallace practices at 1545 Airport Blvd # O, Pensacola, FL 325048615. Office phone: 8504166933.
What is Dr. Deanthia Wallace's NPI?
Dr. Deanthia Wallace's National Provider Identifier (NPI) is 1629764907, issued by NPPES.
Does Dr. Deanthia Wallace accept Medicare assignment?
Yes. Dr. Deanthia Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.