MS. SHANNON MARIE WALLACK CRNA
NPI 1255578068
Nurse Anesthetist, Certified Registered in Saint Paul, MN
About Ms. Shannon Marie Wallack Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANNON MARIE WALLACK CRNA (NPI 1255578068) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Minnesota (517) and active in the NPI registry since January 2009. She maintains a secondary practice location in Minneapolis and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Ms. Shannon Marie Wallack 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55130 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55130
SAINT PAUL, MN 55130
SAINT PAUL, MN 55130
SAINT PAUL, MN 55130
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 Shannon Wallack's NPI number?
The NPI number for Shannon Wallack is 1255578068. It was assigned to this individual provider in the NPPES registry on January 15, 2009.
Where is Shannon Wallack located?
Shannon Wallack practices at 435 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-8080.
What is Shannon Wallack's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shannon Wallack enrolled in Medicare?
Yes. Shannon Wallack 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.
What insurance does Shannon Wallack accept?
Health plans from Medica list Shannon Wallack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Wallack was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
