1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

KELSEY A WALLACE CRNA
NPI 1013576990
Nurse Anesthetist, Certified Registered in Springfield, IL

Active since June 13, 2019Accepts Medicare Assignment
701 N 1ST ST, SPRINGFIELD, IL 62781(217) 788-3000 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2019, Jun 13, 2019 (2 updates tracked since 2019).

About Kelsey A Wallace Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY A WALLACE CRNA (NPI 1013576990) is an individual nurse anesthetist, certified registered in Springfield, Illinois, licensed in Illinois (209019523) and active in the NPI registry since June 2019. She is affiliated with Memorial Medical Center and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013576990
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELSEY A WALLACECredential: CRNA
Location Address701 N 1ST STSpringfield, IL 62781-0001
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 588-2624 · Fax (217) 757-2021
Phone(217) 788-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateJune 17, 20192 updates tracked since enumeration
✔ NPI 1013576990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209019523
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
701 N 1ST ST, Springfield, IL 62781
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelsey A Gass

Other Identifiers 2

Other041-420825IL · Rn License
Other209019523IL · Crna License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey A Wallace Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709111321
PECOS Enrollment IDI20190718000338

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
13 services13 patients
Anesthesia for electroshock therapy 00104
Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.
12 services11 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62781 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUCAS B STOLLER PHARMD
Pharmacist (Critical Care)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 588-6402
DR. REBECCA NICHOLE MAHON PHD. DABR
Radiology (Radiological Physics)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
CAROL A GORDEN CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
MEMORIAL HOME SERVICES
Hospice Care, Community Based
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-4663
DR. SWAPNA NEKKANTI M.D
Hospitalist
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 528-7541
ANN R LARSON CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST, ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
MEMORIAL MEDICAL CENTER
Clinic/Center (Multi-Specialty)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
ALYSSA B. KREILING DNP
Nurse Practitioner (Adult Health)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 528-7541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Wallace's NPI number?

The NPI number for Kelsey Wallace is 1013576990. It was assigned to this individual provider in the NPPES registry on June 13, 2019. The provider is also known as Kelsey A Gass.

Where is Kelsey Wallace located?

Kelsey Wallace practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 788-3000.

What is Kelsey Wallace's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kelsey Wallace enrolled in Medicare?

Yes. Kelsey Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelsey Wallace affiliated with any hospitals?

According to CMS data, Kelsey Wallace is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Wallace was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.