Provider Profile

Kelly A. Wallace, CRNA

Unclaimed Profile

About Kelly Wallace

Kelly A. Wallace, CRNA is a certified registered nurse anesthetist practicing in Saint Louis, MO. According to Medicare claims data, Kelly cared for 134 Medicare patients across 135 services. The services billed most often include anesthesia for exam of colon using an endoscope, anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, and anesthesia for other procedure on large bowel using an endoscope.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 1991

Specialty

Certified Registered Nurse Anesthetist (Primary)

Credentials & Licensing

MO license121517
NPI1669464350
NPI issued08/18/2005

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kelly A. Wallace?

Kelly A. Wallace is a certified registered nurse anesthetist in Saint Louis, MO. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kelly A. Wallace's address?

Kelly A. Wallace is listed at 615 S New Ballas Rd Sjmmc Dept of Anes, Saint Louis, MO 63141. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kelly A. Wallace?

The number on file is (636) 386-9224. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kelly A. Wallace's NPI number?

Kelly A. Wallace's National Provider Identifier is 1669464350. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kelly A. Wallace train?

Kelly A. Wallace attended Other, graduating in 1991. This comes from the CMS National Downloadable File.

CMS public data

How long has Kelly A. Wallace been practicing?

Kelly A. Wallace has 35 years experience. Calculated from a graduation year of 1991, reported in the CMS National Downloadable File.

CMS public data

What procedures does Kelly A. Wallace perform?

According to Medicare billing data, Kelly A. Wallace provides treatments such as anesthesia for exam of colon using an endoscope and anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Kelly A. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kelly A. Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.