PHYLLIS MARIE WALLACE CRNA
NPI 1679708556
Nurse Anesthetist, Certified Registered in Houston, TX
About Phyllis Marie Wallace Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYLLIS MARIE WALLACE CRNA (NPI 1679708556) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Texas (AP117949) and active in the NPI registry since May 2009. She is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Phyllis 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
6Medicare enrollment records show Phyllis Wallace reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 65 clinicians in this Medicare group
Houston, TX 77069
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Bayou Anesthesia And Pain PA
- 151 clinicians in this Medicare group
Houston, TX 77069
- Reassigned Medicare billing, Texas enrollment
- 260 clinicians in this Medicare group
Webster, TX 77598
- Reassigned Medicare billing, Texas enrollment
- 710 clinicians in this Medicare group
Conroe, TX 77304
- Reassigned Medicare billing, Texas enrollment
- 10 clinicians in this Medicare group
Conroe, TX 77304
- Reassigned Medicare billing, Texas enrollment
- 23 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HOUSTON, TX 77030
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 Phyllis Wallace's NPI number?
The NPI number for Phyllis Wallace is 1679708556. It was assigned to this individual provider in the NPPES registry on May 21, 2009.
Where is Phyllis Wallace located?
Phyllis Wallace practices at 6560 Fannin St Suite 600, Houston, TX 77030. The listed phone number is (713) 796-0500.
What is Phyllis Wallace's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Phyllis Wallace enrolled in Medicare?
Yes. Phyllis 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 Phyllis Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Wallace reassigns Medicare benefits to 6 organizations: Epix Medical Services Of Houston PLLC (Houston, TX), Bayou Anesthesia And Pain P.A. (Houston, TX), Northwest Anesthesiology & Pain Services, P.A. (Houston, TX), Endo Sedation LLC (Webster, TX), Lakeside Gastroenterology And Liver Specialists, PLLC (Conroe, TX) and 1 more organization, 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 Phyllis Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phyllis Wallace accept?
Health plans from Blue Cross and Blue Shield of Texas list Phyllis 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 Phyllis Wallace was last updated on June 23, 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.
# Phyllis Marie Wallace, CRNA · NPI 1679708556
Nurse Anesthetist, Certified Registered physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since May 21, 2009.
## Identity
- **NPI:** 1679708556 (Entity type: Individual)
- **Enumerated:** May 21, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP117949 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6560 FANNIN ST, SUITE 600, Houston, TX 77030-2761
- **Phone:** (713) 796-0500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Epix Medical Services Of Houston PLLC (NPI 1417392200, Houston, TX); Bayou Anesthesia And Pain P.A. (NPI 1114977139, Houston, TX); Northwest Anesthesiology & Pain Services, P.A. (NPI 1629027511, Houston, TX); Endo Sedation LLC (NPI 1811464936, Webster, TX); Lakeside Gastroenterology And Liver Specialists, PLLC (NPI 1033439781, Conroe, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** June 23, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1679708556) · Data from the CMS NPPES public registry.