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.
- 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
8 nearest certified registered nurse anesthetist records → All 347 in Utah → Look up another NPI →
Also registered at 250 W 300 N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ryan Avery, MOTR/LOccupational Therapist1235441668
- Jordan Baadsgaard, P.T.Physical Therapist1447443940
- Kerry Baum, MDSurgery Physician1093004202
- Trent Bell, CRNACertified Registered Nurse Anesthetist1669435673
- Lauren Bishop, MDSurgery Physician1861072795
- Kyler Black, M.D.Internal Medicine Physician1518499268
Verify Allen Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 192839-4406Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- 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.
All 347 in Utah → Every provider in Roosevelt → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Trent Bell, CRNARoosevelt, UT 840661669435673
- Frank Guercio, CRNARoosevelt, UT 840661912960881
- Steven Knight, CRNARoosevelt, UT 840661982667945
- Lucas Reichert, CRNARoosevelt, UT 840661497067888
- Henna Brown, CRNARiverton, UT 840651437721370
- Larissa Bruck, CRNARiverton, UT 840651932634938
- Fabio HiguchiBluffdale, UT 840651740552843
- 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.