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STEPHANIE E WALLACE CRNA
NPI 1427534718
Nurse Anesthetist, Certified Registered in Fpo, AE

Active since July 19, 2018
100/100
CMS Quality Rating
PSC 836, BOX 122, FPO, AE 09636(570) 573-4343 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Sep 23, 2024, Jul 19, 2018 (3 updates tracked since 2018).

About Stephanie E Wallace Crna NPPES

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

STEPHANIE E WALLACE CRNA (NPI 1427534718) is an individual nurse anesthetist, certified registered in Fpo, AE, licensed in California (95001098) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1427534718
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTEPHANIE E WALLACECredential: CRNA
Location AddressPSC 836, BOX 122Fpo, AE 09636
Mailing AddressPsc 836, Box 122Fpo, AE 09636 · (570) 573-4343
Phone(570) 573-4343
Sole ProprietorNo
Enumeration DateJuly 19, 2018
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1427534718 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 CA · 95001098
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 ListedAnesthesiologyTaxonomy 207L00000X · License 95001092 (CA)

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

FELIX IHEANACHO PA
Physician Assistant
PSC 836
FPO, AE 09636
(314) 624-4811
MR. RICKY ALFRED VARONE PA-C
Physician Assistant (Medical)
PSC 836, BOX 357
FPO, AE 09636
DR. JOSHUA DARIUS NASSIRI M.D.
Radiology (Diagnostic Radiology)
PSC 836
FPO, AE 09636
(617) 320-2714
NH SIGONELLA
Military Hospital (Military General Acute Care Hospital)
PSC 836, BOX 2670
FPO, AE 09636
(011) 390-9556
DR. MICHAEL G MERCADO M.D.
Family Medicine
PSC 836
FPO, AE 09636
(314) 624-3852
DR. JULIE K SUGUITAN D.M.D.
Dentist (Pediatric Dentistry)
PSC 836
FPO, AE 09636
(847) 393-3055
MS. SUSAN FRANCES JOHNSON OTR
Occupational Therapist
PSC 836, BOX 385
FPO AE, ITALY 09636
DR. MATTHEW CARL BYARS D.D.S.
Dentist
PSC 836, BOX #402
FPO, AE 09636

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 Stephanie Wallace's NPI number?

The NPI number for Stephanie Wallace is 1427534718. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Stephanie Wallace located?

Stephanie Wallace practices at Psc 836 Box 122, Fpo, AE 09636. The listed phone number is (570) 573-4343.

What is Stephanie Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Wallace was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.