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Active NPI 1194587055 Individual Practitioner Female Practitioner

Nyetta Pendleton-Wallace , MED

Case Manager/Care Coordinator • Horsham, PA

Professional Overview & Biography Verified Profile Summary

Nyetta Pendleton-Wallace, MED is a registered healthcare professional specializing in Case Manager/Care Coordinator in Horsham, PA. Practice services are available at 721 DRESHER RD STE 1100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

721 Dresher Rd Ste 1100

Horsham, PA 190442216

Telephone 2152546000
Fax 2157541705
Associated Practice Facility / Clinic
🏢 Cmc Of Pa Pc Facility NPI 1083341341

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Horsham, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Horsham, PA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-15
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Practice Locations

795 E Lancaster Ave Ste 250

Villanova, PA 190851500

Phone: 2152546000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Marissa Hendrixson , OT

Occupational Therapist - Mental Health

NPI 1023881273

Occupational Therapist

Donna Lauck , DNSC, APRN, BC

Counselor - Mental Health

NPI 1174665442

DNSC, Advanced Practice Registered Nurse, BC

Tarah Killane Bird , CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194587808

Certified Registered Nurse Practitioner

Corina Campos , CRNP

Nurse Practitioner

NPI 1255826731

Certified Registered Nurse Practitioner

Colin Tracey , LCSW

Social Worker - Clinical

NPI 1295427706

Licensed Clinical Social Worker

Terry Peura , CRNP

Nurse Practitioner

NPI 1427178599

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 15, 2025

Registered at 721 DRESHER RD STE 1100, HORSHAM, PA 190442216 (Tel: 2152546000)

📍
Updated Business Mailing Address January 15, 2025

Registered at 715 TWINING RD STE 120, DRESHER, PA 190251832 (Tel: 2152546000)

NPI Profile Active January 26, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2024

Registered at 1021 OLD YORK RD STE 301, ABINGTON, PA 190014626 (Tel: 2152546000)

📍
Updated Business Mailing Address January 26, 2024

Registered at 1021 OLD YORK RD STE 301, ABINGTON, PA 190014626 (Tel: 2152546000)

👤
Provider Name / Credentials Updated January 26, 2024

Recorded as NYETTA PENDLETON-WALLACE, M.ED.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2024

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration January 26, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194587055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2024
Last Update: January 15, 2025
Sole Proprietor: No

Mailing Address

715 Twining Rd Ste 120

Dresher, PA 190251832

Phone: 2152546000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.