JONATHAN O WALLACE CRNA
NPI 1609821156
Anesthesiology in Mobile, AL

Q: What is Jonathan Wallace's NPI number?

The NPI number for Jonathan Wallace is 1609821156. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Jonathan Wallace's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Wallace was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 23, 2006Accepts Medicare Assignment

5 MOBILE INFIRMARY CIR, MOBILE, AL 36607(251) 432-4497(251) 432-0577 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jonathan O Wallace Crna NPPES

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

JONATHAN O WALLACE CRNA (NPI 1609821156) is an individual anesthesiology provider in Mobile, Alabama, licensed in Alabama (1101813) and active in the NPI registry since May 2006. He is a graduate of Other (2005).

NPPES Registry Identity

NPI1609821156

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJONATHAN O WALLACECredential: CRNA

Location Address5 MOBILE INFIRMARY CIRMobile, AL 36607-3513

Mailing AddressPo Box 934369Atlanta, GA 31193-0001 · (800) 897-6169 · Fax (800) 897-6170

Phone(251) 432-4497

Fax(251) 432-0577

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 23, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1609821156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in AL · 1101813

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 1101813 (AL)

5 MOBILE INFIRMARY CIR, Mobile, AL 36607

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Jonathan O 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 ID5294744348

PECOS Enrollment IDI20060418000337

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 other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

12 services12 patients

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

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

99%352 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JOHNATHAN E BRUNS CRNA

Nurse Anesthetist, Certified Registered