Marlene M.B. Wallace, CRNA
NPI 1629037676ActiveIndividual· Nurse Anesthetist, Certified Registered· Jber, AK
Nurse Anesthetist, Certified Registered (CRNA) in Jber, Alaska, licensed in IL, with an NPI issued in March 2006. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1629037676 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Mar 20, 2006 |
| Last updated in NPPES | Feb 13, 2023 |
| Certified by provider | Feb 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 209012095 | IL |
| Registered Nurse, Pain Management | 163WP0000X | 041305554 | IL |
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) (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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