Doctor profile · Federal record
Dr. Jennifer Wallace, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · St Petersburg, FL
- NPI 1972791747
- Accepts Medicare
- 19 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
620 10Th St N Ste 1D
St Petersburg, FL 337051407
(727) 828-8400
fax (727) 333-6435 - Mailing address
-
2995 Drew St Fl 2
Clearwater, FL 337593012
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- March 14, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Florida #PA9104356
- Medicaid
- FL #292900700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972791747. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
34
Distinct HCPCS
1
Medicare allowed
$1,256
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
22853 |
Insertion of cage or mesh device to spine bone and disc space during spine fusion | 34 | 17 | $37 |
In context: peer comparison
Among 14 peers in St Petersburg Surgical Physician Assistant, average services per provider: 72. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$101
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 4 | $101.46 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
34
Patients
16
Total drug cost
$386
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 20 | 16 | $255 |
| Tizanidine Hcl | Generic | 14 | 0 | $131 |
Hospital affiliations
Frequently asked questions
What is Dr. Jennifer Wallace's medical specialty?
Dr. Jennifer Wallace practices Surgical Physician Assistant in St Petersburg, FL.
Where does Dr. Jennifer Wallace practice?
Dr. Jennifer Wallace practices at 620 10Th St N Ste 1D, St Petersburg, FL 337051407. Office phone: 7278288400.
What is Dr. Jennifer Wallace's NPI?
Dr. Jennifer Wallace's National Provider Identifier (NPI) is 1972791747, issued by NPPES.
Does Dr. Jennifer Wallace accept Medicare assignment?
Yes. Dr. Jennifer Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jennifer Wallace commonly perform?
Top Medicare-reported procedures in 2023: Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS 22853). Source: CMS Medicare Physician & Other Practitioners file.