ASHLEY MONTAG WALLACE CRNA
NPI 1841073822
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Active since August 15, 2023Accepts Medicare Assignment
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103(336) 718-5000 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2025, Aug 14, 2025, Aug 15, 2023 (3 updates tracked since 2023).

About Ashley Montag Wallace Crna NPPES

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

ASHLEY MONTAG WALLACE CRNA (NPI 1841073822) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (7981) and active in the NPI registry since August 2023. She is affiliated with Novant Health Forsyth Medical Center and is a graduate of Wake Forest University School Of Medicine (2025).

NPPES Registry Identity

NPI1841073822
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameASHLEY MONTAG WALLACECredential: CRNA
Location Address3333 SILAS CREEK PKWYWinston Salem, NC 27103-3013
Mailing Address5239 Quail Forest DrClemmons, NC 27012-9984 · (707) 820-9919
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2025
Enumeration DateAugust 15, 2023
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1841073822 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 NC · 7981✔ Licensed in NC · 155542
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.
3333 SILAS CREEK PKWY, Winston Salem, NC 27103

Other Names 1

Former Name (1)Ashley Marguerite Montag

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

Ashley Montag 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 ID9931699261
PECOS Enrollment IDI20251105003710

Medicare Billing Reassignments

12

Medicare enrollment records show Ashley Wallace reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Hematology & Oncology
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 719 clinicians in this Medicare group
Specialist
1950 S HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 579 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7210 VILLAGE MEDICAL CIRCEL, STE 235
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1730 KERNERSVILLE MEDICAL PKWY, STE 304
Kernersville, NC 27284
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group
Cardiovascular Disease
911 W HENDERSON ST, SUITE 230
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Rowan Medical Center LLC
  • 686 clinicians in this Medicare group
Hematology & Oncology
170 MEDICAL PARK RD STE 101
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Ambulatory Surgical
10030 GILEAD ROAD
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 545 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group
Specialist
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 649 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

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, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Psychiatry & Neurology (Neurology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Hospitalist
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Physician Assistant (Medical)
3333 SILAS CREEK PKWY, EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Pathology (Hematology)
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Internal Medicine (Hematology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Nurse Practitioner (Family)
3333 SILAS CREEK PKWY
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 Ashley Wallace's NPI number?

The NPI number for Ashley Wallace is 1841073822. It was assigned to this individual provider in the NPPES registry on August 15, 2023. The provider is also known as Ashley Marguerite Montag.

Where is Ashley Wallace located?

Ashley Wallace practices at 3333 Silas Creek Pkwy, Winston Salem, NC 27103. The listed phone number is (336) 718-5000.

What is Ashley Wallace's specialty?

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

Is Ashley Wallace enrolled in Medicare?

Yes. Ashley 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 Ashley Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Wallace reassigns Medicare benefits to 12 organizations: Forsyth Memorial Hospital, Inc (Winston Salem, NC), Novant Health Thomasville Medical Center, LLC (Winston Salem, NC), Medical Park Hospital LLC (Winston-salem, NC), Novant Health Clemmons Outpatient Surgery, LLC (Clemmons, NC), Novant Health Kernersville Outpatient Surgery LLC (Kernersville, NC) and 7 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 Ashley Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ashley Wallace affiliated with any hospitals?

According to CMS data, Ashley Wallace is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Wallace was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.