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KIMBERLY GLENDORIA WALLEN CRNA
NPI 1033575907
Nurse Anesthetist, Certified Registered in Bozeman, MT

Active since January 08, 2016PECOS EnrolledAccepts Medicare Assignment
3334 MONIDA ST, BOZEMAN, MT 59718(804) 647-1635 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Aug 21, 2024, Jun 28, 2021 and 1 more (4 updates tracked since 2017).

About Kimberly Glendoria Wallen Crna NPPES

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

KIMBERLY GLENDORIA WALLEN CRNA (NPI 1033575907) is an individual nurse anesthetist, certified registered in Bozeman, Montana, licensed in Idaho (2081405) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Dillon.

NPPES Registry Identity

NPI1033575907
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMBERLY GLENDORIA WALLENCredential: CRNA
Location Address3334 MONIDA STBozeman, MT 59718-8648
Mailing Address3334 Monida StBozeman, MT 59718-8648 · (804) 647-1635
Phone(804) 647-1635
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 8, 2016
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1033575907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in ID · 2081405✔ Licensed in KS · 108532✔ Licensed in MT · 146248
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1081405 (ID)
3334 MONIDA ST, Bozeman, MT 59718
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Other Names 1

Former Name (1)Kimberly Glendoria Leigh Crna

Secondary Practice Location 1

Location 1600 Mt Highway 91 SDillon, MT 59725-7379 · Phone (406) 683-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Glendoria Wallen 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 ID1052617933
PECOS Enrollment IDI20241119002105, I20260618002826
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Kimberly Wallen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Consulting Partners PLLC
74 mi
Anesthesiology
400 S CLARK ST
Butte, MT 59701
  • Reassigned Medicare billing, Montana enrollment
  • 16 clinicians in this Medicare group
NPI 1053092189 (406) 723-2500
Powell County Memorial Hospital Association Inc
93 mi
Critical Access
1100 HOLLENBACK LANE
Deer Lodge, MT 59722
  • Reassigned Medicare billing, Montana enrollment
  • 28 clinicians in this Medicare group
NPI 1275560617 (406) 846-2212
Diamond Anesthesia, PC
122 mi
Nurse Anesthetist, Certified Registered
1747 POLY DR
Billings, MT 59102
  • Reassigned Medicare billing, Montana enrollment
  • 3 clinicians in this Medicare group
NPI 1912553280 (203) 535-8313
Anesthesia Associates Of Coeur D Alene PLLC
304 mi
Anesthesiology
101 W IRONWOOD DR STE 250
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 81 clinicians in this Medicare group
NPI 1962440966 (208) 765-8585
Lakewood Health System
773 mi
Rural Health
815 HWY 71 SOUTH
Eagle Bend, MN 56446
  • Reassigned Medicare billing, Minnesota enrollment
  • 136 clinicians in this Medicare group
NPI 1093706160 (218) 738-2804
Cuyuna Regional Medical Center
810 mi
Family Medicine
180 JORDAN LANE
Longville, MN 56655
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1538143896 (Minnesota)
  • 224 clinicians in this Medicare group
NPI 1861414518 (218) 363-3300
Aitkin Community Hospital, Inc.
830 mi
Rural Health
27278 STATE HIGHWAY 18
Garrison, MN 56450
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1174687040 (Minnesota), NPI 1942277835 (Minnesota)
  • 164 clinicians in this Medicare group
NPI 1790815777 (320) 525-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
293 services185 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
21 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Cuyuna Regional Medical Center

Critical Access Hospitals · Crosby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241353
Location320 East Main StreetCrosby, MN 56441 · Crow Wing County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59718 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

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 Kimberly Wallen's NPI number?

The NPI number for Kimberly Wallen is 1033575907. It was assigned to this individual provider in the NPPES registry on January 8, 2016. The provider is also known as Kimberly Glendoria Leigh Crna.

Where is Kimberly Wallen located?

Kimberly Wallen practices at 3334 Monida St, Bozeman, MT 59718. The listed phone number is (804) 647-1635.

What is Kimberly Wallen's specialty?

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

Is Kimberly Wallen enrolled in Medicare?

Yes. Kimberly Wallen 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.

Which organizations bill Medicare for Kimberly Wallen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wallen reassigns Medicare benefits to 7 organizations: Anesthesia Consulting Partners PLLC (Butte, MT), Powell County Memorial Hospital Association Inc (Deer Lodge, MT), Diamond Anesthesia, PC (Billings, MT), Anesthesia Associates Of Coeur D Alene PLLC (Coeur D Alene, ID), Lakewood Health System (Eagle Bend, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Wallen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Wallen affiliated with any hospitals?

According to CMS data, Kimberly Wallen is affiliated with Kootenai Health and Cuyuna Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Wallen was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.