JENNIFER LEA WALLACE (PAC) – Medical Physician Assistant, NPI 1700864493

JENNIFER LEA WALLACE (PAC) is a healthcare provider. based in Saint petersburg, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA9105134 (FL). The NPI Number for JENNIFER LEA WALLACE (PAC) is 1700864493

Main info

Female
Name
JENNIFER LEA WALLACE (PAC)
NPI
1700864493
Phone
(727) 553-7100
Address
625 6TH AVE S
Enumeration Date
4 January 2006
Last Update Date
8 October 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for JENNIFER LEA WALLACE (PAC)

  • 6th Avenue South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33705, United States

    SUITE 385

    SAINT PETERSBURG, FL 337014662

    Phone: (727) 553-7100

    Fax: (727) 553-7198

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-05-27 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33701)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify JENNIFER LEA WALLACE (PAC) for billing?
Administrative and clinical systems typically use NPI 1700864493 for JENNIFER LEA WALLACE (PAC).
Does the public listing show JENNIFER LEA WALLACE (PAC) as active?
JENNIFER LEA WALLACE (PAC)'s NPI record reflects an active status in NPPES.
What does the directory say JENNIFER LEA WALLACE (PAC) does?
Insurance directories may phrase it differently, but here JENNIFER LEA WALLACE (PAC) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JENNIFER LEA WALLACE (PAC) tied to Saint Petersburg, Florida?
If you are local to Saint Petersburg, Florida, JENNIFER LEA WALLACE (PAC) may be relevant to your search.
Can I export JENNIFER LEA WALLACE (PAC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

Unknown Individual

Medical Physician Assistant
USSOCOM CLINIC
NPI: 1861486789

CODY E THOMPSON (PA-C)

Surgical Physician Assistant
6th Avenue South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33705, United States
NPI: 1619953114

SHERRI JUBAY (PA)

Medical Physician Assistant
881 CARILLON PARKWAY TOWER 4
NPI: 1831155035

JASON L HOWELL (PA-C)

Medical Physician Assistant
County Highway H, Parrish, Town of Parrish, Langlade County, Wisconsin, 54409, United States
NPI: 1578577045

MS. LORI MICHELLE DELISLE (PA-C)

Medical Physician Assistant
WEST FLORIDA PAIN MANAGEMENT
NPI: 1740327600

ANA JULIA JUAREZ (MD)

Physician Assistant
10051 5TH ST N
NPI: 1538292701

MR. ETHAN TADD LEVY (P.A.-C)

Medical Physician Assistant
Orion Center, 3001, North Rocky Point Drive East, Tampa, Hillsborough County, Florida, 33607, United States
NPI: 1992989768

MRS. LEAH LEHR VERDREAM (PA-C)

Medical Physician Assistant
US 17;US 92, Sanford, Seminole County, Florida, 32747, United States
NPI: 1477702223

JESSICA M FRANCIS (PA-C)

Medical Physician Assistant
Morton Plant Hospital, 300, Pinellas Street, Clearwater, Pinellas County, Florida, 33756, United States
NPI: 1750619870