Shane K. Wallace, CRNA
NPI 1235378605ActiveIndividual· Nurse Anesthetist, Certified Registered· Pikeville, KY
Nurse Anesthetist, Certified Registered (CRNA) with Medstream Anesthesia PLLC, practicing in Pikeville, Kentucky. Medicare paid $12,582 for services to 130 patients in 2024. Fisher & Paykel Healthcare Inc was the largest of 3 companies reporting payments in 2025, $90.79 in all, mostly food and beverage. Lists Clinch Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1235378605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Feb 9, 2009 |
| Last updated in NPPES | Aug 2, 2023 |
| Certified by provider | Aug 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 3008218 | KY |
| Registered Nurse | 163W00000X | 0001179608 | VA |
| Nurse Anesthetist, Certified Registered | 367500000X | 0024168171 | VA |
| Nurse Anesthetist, Certified Registered | 367500000X | 33501 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (KY); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TN); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 139 across 37 procedure codes |
| Paid by Medicare | $12,582 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Medstream Anesthesia PLLCOttumwa, IA · 573 clinicians
Hospital affiliation
- Clinch Valley Medical CenterRichlands, VA
Industry payments (Open Payments)
- 2025$90.79 · 4 payments from 3 companies
- 2024$137.28 · 6 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Fisher & Paykel Healthcare Inc | $38.13 | 1 |
| Merck Sharp & Dohme LLC | $32.68 | 2 |
| Chiesi USA, Inc. | $19.98 | 1 |
What the 2025 payments were for
- Food and Beverage$90.79 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 55 nurse anesthetists in Pikeville · All nurse anesthetists in Kentucky