BRENDA WALLIS CRNA
NPI 1477579688
Nurse Anesthetist, Certified Registered in Lufkin, TX

Q: What is Brenda Wallis's NPI number?

The NPI number for Brenda Wallis is 1477579688. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Brenda Wallis'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 Brenda Wallis was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 14, 2006Accepts Medicare Assignment

505 S JOHN REDDITT DR, LUFKIN, TX 75904(936) 639-3036(936) 639-3064 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brenda Wallis Crna NPPES

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

BRENDA WALLIS CRNA (NPI 1477579688) is an individual nurse anesthetist, certified registered in Lufkin, Texas, licensed in Texas (072151) and active in the NPI registry since July 2006. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1477579688

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameBRENDA WALLISCredential: CRNA

Location Address505 S JOHN REDDITT DRLufkin, TX 75904-3120

Mailing AddressPo Box 151736Lufkin, TX 75915-1736

Phone(936) 639-3036

Fax(936) 639-3064

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 14, 2006

Last NPPES UpdateMarch 5, 2008

✔ NPI 1477579688 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 TX · 072151

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.

505 S JOHN REDDITT DR, Lufkin, TX 75904

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Other Identifiers 4

Other84279UTX · Bcbs

Medicare PINP00173205TX

Other84275UTX · Bcbs

Medicare PIN8C6701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Brenda Wallis 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 ID6507827888

PECOS Enrollment IDI20041020000633

Areas of Expertise CMS Part B claims 4

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 procedure on eyelid 00103

Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.

31 services31 patients

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300

Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.

15 services15 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

15 services15 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

DANIEL TESTYON CRNA

Nurse Anesthetist, Certified Registered