Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deanthia Ricara-Gigi Wallace, APRN

Individual provider Family Nurse Practitioner · NPI 1629764907

Deanthia Ricara-Gigi Wallace, APRN is a Nurse Practitioner in Pensacola, Florida. Qualified in 2022, 4 years ago. Practices with Sacred Heart Health System Inc, a 373-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1545 Airport Blvd # O
Pensacola, FL 32504-8615
Phone: (850) 416-6933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11024974 (FL)

Record details

NPI number1629764907
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 11, 2023
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sacred Heart Health System Inc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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