Allen Wallace, CRNA
NPI 1295798163ActiveIndividual· Nurse Anesthetist, Certified Registered· Roosevelt, UT
Nurse Anesthetist, Certified Registered (CRNA) in Roosevelt, Utah, licensed in UT, with an NPI issued in April 2006. Medicare paid $6,539 for services to 47 patients in 2024.
Overview
| NPI | 1295798163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Apr 10, 2006 |
| Last updated in NPPES | Nov 30, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 192839-4406 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 47 across 17 procedure codes |
| Paid by Medicare | $6,539 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in Roosevelt
- 1326267758
- 1043643877
- 1669435673
- 1912960881
- 1982667945
- 1497067888
All Nurse Anesthetist, Certified Registered providers in Utah →