RUSSELL K WALSTON CRNA
NPI 1235648916
Nurse Anesthetist, Certified Registered in Oro Valley, AZ

Active since September 25, 2017Accepts Medicare Assignment
1551 E TANGERINE RD, ORO VALLEY, AZ 85755(520) 901-3500 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2020, Aug 24, 2018 (2 updates tracked since 2018).

About Russell K Walston Crna NPPES

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

RUSSELL K WALSTON CRNA (NPI 1235648916) is an individual nurse anesthetist, certified registered in Oro Valley, Arizona, licensed in New Mexico (CRNA-01530) and active in the NPI registry since September 2017. He is affiliated with Moab Regional Hospital, maintains 2 additional practice locations, and is a graduate of Medical University Of South Carolina College Of Medicine (2017).

NPPES Registry Identity

NPI1235648916
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRUSSELL K WALSTONCredential: CRNA
Location Address1551 E TANGERINE RDOro Valley, AZ 85755-6213
Mailing AddressPo Box 6210Farmington, NM 87499-6210 · (505) 609-2258 · Fax (505) 609-2259
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2017
Enumeration DateSeptember 25, 2017
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1235648916 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
License✔ Licensed in NM · CRNA-01530
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 8000945-3102 (UT)
1551 E TANGERINE RD, Oro Valley, AZ 85755

Secondary Practice Locations 2

Location 1455 Saint Michaels DrSanta Fe, NM 87505 · Phone (505) 913-3361
Location 2801 W Maple StFarmington, NM 87401-5630 · Phone (505) 609-2258 · Fax (505) 609-2259

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

Russell K Walston 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 ID8224390547
PECOS Enrollment IDI20180327001414, I20240216000671, I20250819001315

Medicare Billing Reassignments

5

Medicare enrollment records show Russell Walston reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 664 clinicians in this Medicare group
Specialist
1100 CENTRAL AVE SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 151 clinicians in this Medicare group
General Practice
7910 WYOMING BLVD NE STE A
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
Obstetrics & Gynecology
655 W PINON ST
Farmington, NM 87401
  • Reassigned Medicare billing, New Mexico enrollment
  • 368 clinicians in this Medicare group
Critical Access
450 W WILLIAMS WAY
Moab, UT 84532
  • Reassigned Medicare billing, Utah enrollment
  • 60 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.

Hospital Affiliations CMS Care Compare

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

Moab Regional Hospital

Critical Access Hospitals · Moab, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461302
Location450 West Williams WayMoab, UT 84532 · Grand County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85755 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Internal Medicine
1551 E TANGERINE RD
ORO VALLEY, AZ 85755
Anesthesiology
1551 E TANGERINE RD
ORO VALLEY, AZ 85755
Nurse Anesthetist, Certified Registered
1551 E TANGERINE RD
ORO VALLEY, AZ 85755
Anesthesiology
1551 E TANGERINE RD
ORO VALLEY, AZ 85755
Psychiatric Unit
1551 E TANGERINE RD
ORO VALLEY, AZ 85755
Registered Nurse (Registered Nurse First Assistant)
1551 E TANGERINE RD
ORO VALLEY, AZ 85755
Anesthesiology
1551 E TANGERINE RD
ORO VALLEY, AZ 85755
Nurse Anesthetist, Certified Registered
1551 E TANGERINE RD
ORO VALLEY, AZ 85755

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 Russell Walston's NPI number?

The NPI number for Russell Walston is 1235648916. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Russell Walston located?

Russell Walston practices at 1551 E Tangerine Rd, Oro Valley, AZ 85755. The listed phone number is (520) 901-3500.

What is Russell Walston's specialty?

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

Is Russell Walston enrolled in Medicare?

Yes. Russell Walston 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 Russell Walston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Walston reassigns Medicare benefits to 5 organizations: Northwest Hbp Medical Services LLC (Tucson, AZ), Anesthesia Associates Of New Mexico P C (Albuquerque, NM), St Vincent Hospital (Albuquerque, NM), San Juan Regional Medical Center Inc (Farmington, NM) and Moab Valley Healthcare, Inc (Moab, UT). 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 Russell Walston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Russell Walston affiliated with any hospitals?

According to CMS data, Russell Walston is affiliated with Moab Regional Hospital.

When was this NPI record last updated?

The NPPES record for Russell Walston was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.