JOHN MATHEW WALLACE CRNA
NPI 1699489484
Nurse Anesthetist, Certified Registered in Winston Salem, NC
About John Mathew Wallace Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MATHEW WALLACE CRNA (NPI 1699489484) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (7073) and active in the NPI registry since January 2023. He is affiliated with Novant Health Forsyth Medical Center and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Group Practice 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
John Mathew 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
14Medicare enrollment records show John Wallace reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 719 clinicians in this Medicare group
Winston-salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 579 clinicians in this Medicare group
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
High Point, NC 27262
- Reassigned Medicare billing, North Carolina enrollment
- 90 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Rowan Medical Center LLC
- 686 clinicians in this Medicare group
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Huntersville, NC 28078
- Reassigned Medicare billing, North Carolina enrollment
- 545 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCNovant Health Medical Park Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27103 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.
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
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 John Wallace's NPI number?
The NPI number for John Wallace is 1699489484. It was assigned to this individual provider in the NPPES registry on January 6, 2023.
Where is John Wallace located?
John Wallace practices at 3333 Silas Creek Pkwy, Winston Salem, NC 27103. The listed phone number is (336) 718-5000.
What is John Wallace's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Wallace enrolled in Medicare?
Yes. John 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 John Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Wallace reassigns Medicare benefits to 14 organizations: Forsyth Memorial Hospital, Inc (Winston Salem, NC), Novant Health Thomasville Medical Center, LLC (Winston Salem, NC), Medical Park Hospital LLC (Winston-salem, NC), Wake Forest University Health Sciences (Winston Salem, NC), Novant Health Clemmons Outpatient Surgery, LLC (Clemmons, NC) and 9 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 John Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Wallace accept?
Health plans from Cigna Healthcare list John 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.
Is John Wallace affiliated with any hospitals?
According to CMS data, John Wallace is affiliated with Novant Health Forsyth Medical Center and Novant Health Medical Park Hospital.
When was this NPI record last updated?
The NPPES record for John Wallace was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# John Mathew Wallace, CRNA · NPI 1699489484
Nurse Anesthetist, Certified Registered physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since January 6, 2023.
## Identity
- **NPI:** 1699489484 (Entity type: Individual)
- **Enumerated:** January 6, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 7073 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3333 SILAS CREEK PKWY, Winston Salem, NC 27103-3013
- **Phone:** (336) 718-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Forsyth Memorial Hospital, Inc (NPI 1033622618, Winston Salem, NC); Novant Health Thomasville Medical Center, LLC (NPI 1083338677, Winston Salem, NC); Medical Park Hospital LLC (NPI 1003867516, Winston-salem, NC); Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC); Novant Health Clemmons Outpatient Surgery, LLC (NPI 1427697978, Clemmons, NC); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699489484) · Data from the CMS NPPES public registry.