Deneille Marchan-Wallace

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP027626 Issued in PA

Practice address

500 N West St
Doylestown, PA 18901-2366

Phone

(215) 345-5300

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lenape Valley Foundation

  • Psychiatry Physician
  • Doylestown, PA
  • NPI 1780735407

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Dibe Arcadia Healthcare Services LLC

  • Community/Behavioral Health Agency
  • Flourtown, PA
  • NPI 1356064836
  Medicare reassignment
• Lenape Valley Foundation

  • Psychiatry Physician
  • Doylestown, PA
  • NPI 1265656623
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1023893054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WEST ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012366",
            "telephone_number": "215-345-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WEST ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012366",
            "telephone_number": "215-345-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHAN-WALLACE",
        "first_name": "DENEILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany R Manners, MS LPC
• Carol E Manno, PT
• Grace Manno, M.S., CCC-SLP
• Wendy Anne Maraska, M.S. ED.
• Marc Carafa PSYD PLLC
• Eric Alan Marchant, M.D.
• Randy Marchincin, DPT
• Ellen Marciano, NTP, RWP
• Betty R Marcini, SLP
• Jalma Marcus, RN, HNB-BC

• Psychiatric/Mental Health Nurse Practitioner in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.