LISA MARIE WALLACE CRNA
NPI 1548439375
Nurse Anesthetist, Certified Registered in Macon, GA
About Lisa Marie Wallace Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE WALLACE CRNA (NPI 1548439375) is an individual nurse anesthetist, certified registered in Macon, Georgia, licensed in Alabama (1-097840) and active in the NPI registry since February 2008. She is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Lisa Marie 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.
Medicare Billing Reassignments
8Medicare enrollment records show Lisa Wallace reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roswell, GA 30076
- Reassigned Medicare billing, Alabama enrollment
- 135 clinicians in this Medicare group
Dothan, AL 36301
- Reassigned Medicare billing, Alabama enrollment
- 514 clinicians in this Medicare group
Ozark, AL 36360
- Reassigned Medicare billing, Alabama enrollment
- 47 clinicians in this Medicare group
Dothan, AL 36301
- Reassigned Medicare billing, Alabama enrollment
- 79 clinicians in this Medicare group
Dothan, AL 36301
- Reassigned Medicare billing, Alabama enrollment
- 71 clinicians in this Medicare group
Montgomery, AL 36116
- Reassigned Medicare billing, Alabama enrollment
- 214 clinicians in this Medicare group
Enterprise, AL 36330
- Reassigned Medicare billing, Alabama enrollment
- 24 clinicians in this Medicare group
Enterprise, AL 36330
- Reassigned Medicare billing, Alabama enrollment
- 12 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.
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 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
MACON, GA 31201
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 Lisa Wallace's NPI number?
The NPI number for Lisa Wallace is 1548439375. It was assigned to this individual provider in the NPPES registry on February 26, 2008. The provider is also known as Lisa Marie Campbell.
Where is Lisa Wallace located?
Lisa Wallace practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (478) 633-1000.
What is Lisa Wallace's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lisa Wallace enrolled in Medicare?
Yes. Lisa 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.
Which organizations bill Medicare for Lisa Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wallace reassigns Medicare benefits to 8 organizations: Epix Anesthesia Of Alabama LLC (Roswell, GA), Houston County Healthcare Authority (Dothan, AL), Dale Medical Center (Ozark, AL), Gut PC (Dothan, AL), Southern Alabama Surgery Center LLC (Dothan, AL) and 3 more organizations, listed in the Medicare section above. 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 Lisa Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Wallace accept?
Health plans from Blue Cross and Blue Shield of Alabama list Lisa Wallace 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 Lisa Wallace was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Lisa Marie Wallace, CRNA · NPI 1548439375
Nurse Anesthetist, Certified Registered physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since February 26, 2008.
## Identity
- **NPI:** 1548439375 (Entity type: Individual)
- **Enumerated:** February 26, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1-097840 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 HEMLOCK ST, Macon, GA 31201-2102
- **Phone:** (478) 633-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Epix Anesthesia Of Alabama LLC (NPI 1629427059, Roswell, GA); Houston County Healthcare Authority (NPI 1538597349, Dothan, AL); Dale Medical Center (NPI 1174579007, Ozark, AL); Gut PC (NPI 1790201903, Dothan, AL); Southern Alabama Surgery Center LLC (NPI 1346349164, Dothan, AL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 5, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1548439375) · Data from the CMS NPPES public registry.