HAILEY D WALLACE CRNA
NPI 1104305432
Nurse Anesthetist, Certified Registered in Columbus, OH

Q: What is Hailey Wallace's NPI number?

The NPI number for Hailey Wallace is 1104305432. It was assigned to this individual provider in the NPPES registry on August 8, 2018. The provider is also known as Hailey D Jones.

Q: What is Hailey Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hailey Wallace was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 08, 2018

930 BETHEL RD, COLUMBUS, OH 43214(614) 451-0500 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Hailey D Wallace Crna NPPES

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

HAILEY D WALLACE CRNA (NPI 1104305432) is an individual nurse anesthetist, certified registered in Columbus, Ohio, licensed in Ohio (CRNA.019718) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1104305432

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameHAILEY D WALLACECredential: CRNA

Location Address930 BETHEL RDColumbus, OH 43214-1906

Mailing Address750 Cross Pointe Rd Ste CGahanna, OH 43230-6692 · (614) 761-1255 · Fax (614) 552-0168

Phone(614) 451-0500

Sole ProprietorNo

Enumeration DateAugust 8, 2018

✔ NPI 1104305432 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 OH · CRNA.019718

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.

930 BETHEL RD, Columbus, OH 43214

Open in Google Maps ↗

Other Names 1

Former Name (1)Hailey D Jones

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey D Wallace Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Hailey Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Anesthesiologists, Ltd.

Same address

Anesthesiology

930 BETHEL RD
Columbus, OH 43214

Reassigned Medicare billing, Ohio enrollment
19 clinicians in this Medicare group

NPI 1154473494 (614) 451-0500

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

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 nose and sinuses 00160

Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.

18 services18 patients

Other Providers at the Same Location NPPES 10

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

OHIO SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)