MR. WALLACE BARRETT JR. CRNA
NPI 1104216944
Nurse Anesthetist, Certified Registered in Litchfield, IL
About Mr. Wallace Barrett Jr. Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WALLACE BARRETT JR. CRNA (NPI 1104216944) is an individual nurse anesthetist, certified registered in Litchfield, Illinois, licensed in Illinois (209012598) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Wallace Barrett Jr. 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.
Medicare Billing Reassignment
Medicare enrollment records show Wallace Barrett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62769
- Reassigned Medicare billing, Illinois enrollment
- 826 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Hospital
Critical Access Hospitals · Litchfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITCHFIELD, IL 62056
LITCHFIELD, IL 62056
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 Wallace Barrett's NPI number?
The NPI number for Wallace Barrett is 1104216944. It was assigned to this individual provider in the NPPES registry on February 2, 2015.
Where is Wallace Barrett located?
Wallace Barrett practices at 1215 Franciscan Dr, Litchfield, IL 62056. The listed phone number is (217) 324-8389.
What is Wallace Barrett's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Wallace Barrett enrolled in Medicare?
Yes. Wallace Barrett 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 organization bills Medicare for Wallace Barrett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Barrett reassigns Medicare benefits to North American Partners In Anesthesia (illinois), LLC (Springfield, IL). The 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 Wallace Barrett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Wallace Barrett affiliated with any hospitals?
According to CMS data, Wallace Barrett is affiliated with St Francis Hospital.
When was this NPI record last updated?
The NPPES record for Wallace Barrett was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Wallace Barrett Jr., CRNA · NPI 1104216944
Nurse Anesthetist, Certified Registered physician in Litchfield, Illinois. Individual provider, active in the CMS NPPES registry since February 2, 2015.
## Identity
- **NPI:** 1104216944 (Entity type: Individual)
- **Enumerated:** February 2, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209012598 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 FRANCISCAN DR, Litchfield, IL 62056-1778
- **Phone:** (217) 324-8389
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** North American Partners In Anesthesia (illinois), LLC (NPI 1699032524, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104216944) · Data from the CMS NPPES public registry.