WALLACE EUGENE RALSTON CRNA
NPI 1972556447
Nurse Anesthetist, Certified Registered in Marshall, MO

Q: What is Wallace Ralston's NPI number?

The NPI number for Wallace Ralston is 1972556447. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Wallace Ralston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wallace Ralston was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

2305 S 65 HIGHWAY, MARSHALL, MO 65340(660) 886-3554(660) 831-3308 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2025, Mar 5, 2024, Dec 6, 2023 and 1 more (4 updates tracked since 2020).

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About Wallace Eugene Ralston Crna NPPES

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

WALLACE EUGENE RALSTON CRNA (NPI 1972556447) is an individual nurse anesthetist, certified registered in Marshall, Missouri, licensed in Missouri (152532) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972556447

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameWALLACE EUGENE RALSTONCredential: CRNA

Location Address2305 S 65 HIGHWAYMarshall, MO 65340

Mailing Address2305 South 65 HighwayMarshall, MO 65340-2640 · (660) 886-7431

Phone(660) 886-3554

Fax(660) 831-3308

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 18, 2006

Last NPPES UpdateApril 3, 20254 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1972556447 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 MO · 152532

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 ListedNurse PractitionerTaxonomy 363L00000X · License 2020034592 (MO)

2305 S 65 HIGHWAY, Marshall, MO 65340

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Secondary Practice Locations 2

Location 17900 Lees Summit RdKansas City, MO 64139-1236 · Phone (816) 404-9382 · Fax (816) 404-7142

Location 22301 Holmes StKansas City, MO 64108-2640 · Phone (816) 404-1127 · Fax (819) 404-1103

Other Identifiers 2

Medicaid30004543120001KS

Medicaid918782004MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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

Wallace Eugene Ralston 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 ID941272819

PECOS Enrollment IDI20040811000239

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

Medicare enrollment records show Wallace Ralston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John Fitzgibbon Memorial Hospital Inc

Same address

Clinic/Center

2305 S 65 HIGHWAY
Marshall, MO 65340

Reassigned Medicare billing, Missouri enrollment
15 clinicians in this Medicare group

NPI 1285650176 (660) 831-3553

Truman Medical Center Incorporated

64 mi

Emergency Medicine

7900 LEES SUMMIT RD
Kansas City, MO 64139

Reassigned Medicare billing, Missouri enrollment
364 clinicians in this Medicare group

NPI 1396913802 (816) 404-7000

Cedar County Memorial Hospital

71 mi

Critical Access

1401 S PARK ST
El Dorado Springs, MO 64744

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1720039605 (Missouri)
58 clinicians in this Medicare group

NPI 1619090404 (417) 876-2511

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.

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.

183 services61 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

37 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

22 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260009

Location601 E 14th StSedalia, MO 65302 · Pettis County

Emergency services Birthing friendly

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260048

Location2301 Holmes StreetKansas City, MO 64108 · Jackson County

Emergency services Birthing friendly

Fitzgibbon Hospital

Acute Care Hospitals · Marshall, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260142

Location2305 S 65 HighwayMarshall, MO 65340 · Saline County

Emergency services Birthing friendly

Cedar County Memorial Hospital

Critical Access Hospitals · El Dorado Springs, MO

OwnershipGovernment - Local

CMS Certification Number261323

Location1401 South Park StreetEl Dorado Springs, MO 64744 · Cedar County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65340 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN FITZGIBBON MEMORIAL HOSPITAL INC

Clinic/Center