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Provider Profile

Shane K. Wallace, CRNA

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At a glance

About Shane Wallace

Shane K. Wallace, CRNA is a certified registered nurse anesthetist (crna) based in Pikeville, KY. Shane is also listed as specializing in registered nurse and certified registered nurse anesthetist. Medicare claims data shows Shane provided 66 services to 66 patients. The services billed most often include anesthesia for x-ray or radiation therapy, anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, and anesthesia for procedure on small and large bowel using an endoscope. The provider's National Provider Identifier (NPI) is 1235378605.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2008

Credentials & Licensing

KY licenceAs reported to the NPI registry
No. 3008218As reported
TN licenceAs reported to the NPI registry
No. 33501As reported
VA licenceAs reported to the NPI registry
No. 0001179608As reported
VA licenceAs reported to the NPI registry
No. 0024168171As reported
NPINational Provider Identifier
1235378605Issued 2009

As reported to the NPI registry ↗

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 does Shane K. Wallace specialize in?

Shane K. Wallace is a certified registered nurse anesthetist (crna) in Pikeville, KY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Shane K. Wallace located?

Shane K. Wallace is listed at 911 Bypass Rd Bldg A, Pikeville, KY 41501. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Shane K. Wallace's phone number?

The number on file is (606) 430-3500. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Shane K. Wallace?

Shane K. Wallace's National Provider Identifier is 1235378605. 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 Shane K. Wallace train?

Shane K. Wallace attended Other, graduating in 2008. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Shane K. Wallace have?

Shane K. Wallace has 18 years experience. Calculated from a graduation year of 2008, reported in the CMS National Downloadable File.

CMS public data

What does Shane K. Wallace do most often?

According to Medicare billing data, Shane K. Wallace provides treatments such as anesthesia for x-ray or radiation therapy 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

Is Shane K. Wallace's profile verified?

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

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