RACHEL RENEE WALLACE CRNA
NPI 1669719175
Nurse Anesthetist, Certified Registered in Cortez, CO

Active since January 04, 2013PECOS EnrolledAccepts Medicare Assignment
1311 N MILDRED RD, CORTEZ, CO 81321(970) 555-6666 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2022, May 10, 2019 (2 updates tracked since 2019).

About Rachel Renee Wallace Crna NPPES

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

RACHEL RENEE WALLACE CRNA (NPI 1669719175) is an individual nurse anesthetist, certified registered in Cortez, Colorado, licensed in Colorado (C-APN.0001428-C-CRNA) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669719175
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameRACHEL RENEE WALLACECredential: CRNA
Location Address1311 N MILDRED RDCortez, CO 81321
Mailing Address35505 Road K.1Mancos, CO 81328-8978
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 4, 2013
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 23, 2022
✔ NPI 1669719175 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
Licenses✔ Licensed in CO · C-APN.0001428-C-CRNA✔ Licensed in OK · R0088890
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.
1311 N MILDRED RD, Cortez, CO 81321

Secondary Practice Locations 3

Location 135505 Road K.1Mancos, CO 81328-8978 · Phone (918) 284-2163
Location 21311 N Mildred RdCortez, CO 81321 · Phone (970) 555-6666
Location 36839 S Canton AveTulsa, OK 74136-3402 · Phone (918) 494-0612 · Fax (918) 481-5170

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

Rachel Renee 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 ID6204081656
PECOS Enrollment IDI20190617000691
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Rachel Wallace reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1311 N MILDRED RD
Cortez, CO 81321
  • Reassigned Medicare billing, Colorado enrollment
  • 23 clinicians in this Medicare group
Anesthesiology
2 BURNETT CT
Durango, CO 81301
  • Reassigned Medicare billing, Colorado enrollment
  • 10 clinicians in this Medicare group
Urgent Care
450 S CAMINO DEL RIO, SUITE 106
Durango, CO 81301
  • Reassigned Medicare billing, Colorado enrollment
  • 69 clinicians in this Medicare group
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, South Carolina enrollment
  • 553 clinicians in this Medicare group
Anesthesiology
1807 W EVANS ST STE C
Florence, SC 29501
  • Reassigned Medicare billing, South Carolina enrollment
  • 93 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 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 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.
32 services32 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services23 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
22 services22 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81321 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%414 patients5/55-star benchmark: 100%
Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy
Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…
99%96 patients
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.

Emergency Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Emergency Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Registered Nurse
1311 N MILDRED RD
CORTEZ, CO 81321
Registered Nurse
1311 N MILDRED RD
CORTEZ, CO 81321
Family Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Anesthesiology
1311 N MILDRED RD
CORTEZ, CO 81321
Medicare Defined Swing Bed Unit
1311 N MILDRED RD
CORTEZ, CO 81321
Nurse Practitioner (Acute Care)
1311 N MILDRED RD
CORTEZ, CO 81321

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 Rachel Wallace's NPI number?

The NPI number for Rachel Wallace is 1669719175. It was assigned to this individual provider in the NPPES registry on January 4, 2013.

Where is Rachel Wallace located?

Rachel Wallace practices at 1311 N Mildred Rd, Cortez, CO 81321. The listed phone number is (970) 555-6666.

What is Rachel Wallace's specialty?

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

Is Rachel Wallace enrolled in Medicare?

Yes. Rachel 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 Rachel Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Wallace reassigns Medicare benefits to 5 organizations: Novus Colorado Professional Corporation (Cortez, CO), Animas Anesthesia Associates LLC (Durango, CO), Animas Surgical Hospital, LLC (Durango, CO), Medstream Anesthesia PLLC (Richardson, TX) and Coastal Healthcare Resources Inc (Florence, SC). 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 Rachel Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Wallace accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Rachel 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 Rachel Wallace was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.