Lisa Marie Wallace, CRNA
NPI 1548439375ActiveIndividual· Nurse Anesthetist, Certified Registered· Macon, GA
Nurse Anesthetist, Certified Registered (CRNA) with Gut PC and 3 other groups, practicing in Macon, Georgia. Medicare paid $8,457 for services to 97 patients in 2024. Takeda Pharmaceuticals U.S.A., Inc. reported $24.58 in payments in 2025, mostly food and beverage. Lists Medical Center Enterprise as a hospital affiliation.
Overview
| NPI | 1548439375 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Feb 26, 2008 |
| Last updated in NPPES | Jun 5, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 1-097840 | AL |
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) (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 99 across 38 procedure codes |
| Paid by Medicare | $8,457 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Gut PCDothan, AL · 56 clinicians
- Epix Anesthesia of Alabama LLCAnniston, AL · 35 clinicians
- Dale Medical CenterOzark, AL · 29 clinicians
- Ambulatory Management LLCEnterprise, AL · 9 clinicians
Hospital affiliation
- Medical Center EnterpriseEnterprise, AL
Industry payments (Open Payments)
- 2025$24.58 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $24.58 | 1 |
What the 2025 payments were for
- Food and Beverage$24.58 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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