NPPES file of Aug 9, 2026

Allen Wallace, CRNA

Certified Registered Nurse Anesthetist · Roosevelt, UT

Allen Wallace, CRNA is a certified registered nurse anesthetist with a practice address in Roosevelt, Utah, and NPI 1295798163, issued on Apr 10, 2006. Check the license (Utah 192839-4406, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295798163
Name
Allen Wallace
Credential
CRNA
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License number
192839-4406 UT
Self-reported in NPPES; status is on the state search
Practice location
250 W 300 N, Roosevelt, UT 84066
Phone
(435) 722-6163
Enumerated
Apr 10, 2006
Record last updated
Nov 30, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(435) 722-9291
Medicaid ID
D0808 UT
Medicare enrollment
Enrolled (PECOS I20041117001044); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 250 W 300 N

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ryan Avery, MOTR/LOccupational Therapist1235441668
  2. Jordan Baadsgaard, P.T.Physical Therapist1447443940
  3. Kerry Baum, MDSurgery Physician1093004202
  4. Trent Bell, CRNACertified Registered Nurse Anesthetist1669435673
  5. Lauren Bishop, MDSurgery Physician1861072795
  6. Kyler Black, M.D.Internal Medicine Physician1518499268

Verify Allen Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Utah board licenses this profession
    Search for license 192839-4406
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Utah license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Ubmc AnesthesiologyRoosevelt, UT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Allen Wallace among 347 certified registered nurse anesthetist records in Utah

Allen Wallace, CRNA is one of 347 certified registered nurse anesthetist records with a practice address in Utah. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 66% newer
  • In a Medicare fileYes · 69% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated1994 · median 2013 among the 225 with a school on file
  • Record last updated2007 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

5 certified registered nurse anesthetist records list a practice address in Roosevelt

They are 5 of the 190 NPPES records with a practice address in Roosevelt, and 347 certified registered nurse anesthetist records in Utah.

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Trent Bell, CRNARoosevelt, UT 840661669435673
  2. Frank Guercio, CRNARoosevelt, UT 840661912960881
  3. Steven Knight, CRNARoosevelt, UT 840661982667945
  4. Lucas Reichert, CRNARoosevelt, UT 840661497067888
  5. Henna Brown, CRNARiverton, UT 840651437721370
  6. Larissa Bruck, CRNARiverton, UT 840651932634938
  7. Fabio HiguchiBluffdale, UT 840651740552843
  8. Samantha Walker, CRNARiverton, UT 840651033720461

Common questions

What is Allen Wallace, CRNA's NPI number?

Allen Wallace, CRNA's National Provider Identifier (NPI) is 1295798163, issued on Apr 10, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Allen Wallace, CRNA located?

The NPPES record lists a practice address at 250 W 300 N, Roosevelt, UT, 84066. Phone: (435) 722-6163. Providers update this record themselves, so call before visiting.

How can I verify Allen Wallace, CRNA's license?

NPPES lists Utah license number 192839-4406, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.