ALLEN WALLACE CRNA
NPI 1295798163
Nurse Anesthetist, Certified Registered in Roosevelt, UT

Active since April 10, 2006Accepts Medicare Assignment
250 W 300 N, ROOSEVELT, UT 84066(435) 722-6163(435) 722-9291 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Allen Wallace Crna NPPES

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

ALLEN WALLACE CRNA (NPI 1295798163) is an individual nurse anesthetist, certified registered in Roosevelt, Utah, licensed in Utah (192839-4406) and active in the NPI registry since April 2006. He is affiliated with Uintah Basin Medical Center and is a graduate of Other (1994).

NPPES Registry Identity

NPI1295798163
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameALLEN WALLACECredential: CRNA
Location Address250 W 300 NRoosevelt, UT 84066-2336
Mailing Address250 W 300 NRoosevelt, UT 84066-2336 · (435) 722-6163 · Fax (435) 722-9291
Fax(435) 722-9291
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 30, 2007
NPI 1295798163 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 UT · 192839-4406
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.

250 W 300 N, Roosevelt, UT 84066

Other Identifiers 1

MedicaidD0808UT

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

Allen Wallace 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 ID8022072164
PECOS Enrollment IDI20041117001044

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 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Registered Nurse
250 W 300 N
ROOSEVELT, UT 84066
Physical Therapist
250 W 300 N
ROOSEVELT, UT 84066
Nurse Anesthetist, Certified Registered
250 W 300 N
ROOSEVELT, UT 84066
Surgery
250 W 300 N, UINTAH BASIN MEDICAL CENTER
ROOSEVELT, UT 84066
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066
Pharmacist
250 W 300 N
ROOSEVELT, UT 84066
Family Medicine
250 W 300 N
ROOSEVELT, UT 84066
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066

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 Allen Wallace's NPI number?

The NPI number for Allen Wallace is 1295798163. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Allen Wallace located?

Allen Wallace practices at 250 W 300 N, Roosevelt, UT 84066. The listed phone number is (435) 722-6163.

What is Allen Wallace's specialty?

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

Is Allen Wallace enrolled in Medicare?

Yes. Allen Wallace 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.

Is Allen Wallace affiliated with any hospitals?

According to CMS data, Allen Wallace is affiliated with Uintah Basin Medical Center.

When was this NPI record last updated?

The NPPES record for Allen Wallace was last updated on November 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.