KENNY JOE WALLEN D.N.P.
NPI 1649628553
Nurse Anesthetist, Certified Registered in Dillon, MT

Active since June 01, 2016PECOS Enrolled
600 STATE HWY 91 S, DILLON, MT 59725(406) 683-3000 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 8, 2025, Jul 19, 2023, Mar 5, 2020 (3 updates tracked since 2020).

About Kenny Joe Wallen D.n.p. NPPES

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

KENNY JOE WALLEN D.N.P. (NPI 1649628553) is an individual nurse anesthetist, certified registered in Dillon, Montana, licensed in Montana (132231) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1649628553
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNY JOE WALLENCredential: D.N.P.
Location Address600 STATE HWY 91 SDillon, MT 59725-7379
Mailing Address386 White Horse LoopBozeman, MT 59718-1223 · (918) 906-1697
Sole ProprietorNo
Enumeration DateJune 1, 2016
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1649628553 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 MT · 132231
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 ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 132231 (MT)
600 STATE HWY 91 S, Dillon, MT 59725

Secondary Practice Location 1

Location 15734 Coventry LnFort Wayne, IN 46804-7141 · Phone (260) 432-9812

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenny Joe Wallen D.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
179 services122 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
49 services38 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
46 services36 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
43 services43 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
31 services30 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59725 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

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 Kenny Wallen's NPI number?

The NPI number for Kenny Wallen is 1649628553. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Kenny Wallen located?

Kenny Wallen practices at 600 State Hwy 91 S, Dillon, MT 59725. The listed phone number is (406) 683-3000.

What is Kenny Wallen's specialty?

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

Is Kenny Wallen enrolled in Medicare?

Yes. Kenny Wallen is registered in the Medicare PECOS enrollment system.

What insurance does Kenny Wallen accept?

Health plans from Blue Cross and Blue Shield of Montana, Medica and Mountain Health CO-OP list Kenny Wallen 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 Kenny Wallen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.