Jerrol B. Wallace, CRNA
Certified Registered Nurse Anesthetist · Baltimore, MD
Jerrol B. Wallace, CRNA is a certified registered nurse anesthetist with a practice address in Baltimore, Maryland, and NPI 1316084932, issued on Jan 31, 2007. Check the license (Maryland R246272, as entered in NPPES) with the Maryland board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jerrol B. Wallace
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- R246272 MD
0024167758 VA
Self-reported in NPPES; status is on the state search - Practice location
- 4940 Eastern Ave, Baltimore, MD 21224
- Phone
- (410) 550-0100
- Enumerated
- Jan 31, 2007
- Record last updated
- Feb 16, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210225002549); accepts Medicare assignment
- Medical or professional school
- Duke University School Of Medicine, 2014
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 1,062 in Maryland → Look up another NPI →
Also registered at 4940 Eastern Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jared Abay, PA-CSurgical Physician Assistant1659427342
- Alexandra Abbate, MDObstetrics & Gynecology Physician1194287003
- Anas AbdullahStudent in an Organized Health Care Education/Training Program1184040917
- Asma Abeer, PA-CMedical Physician Assistant1386356442
- Mona Abraham, MDStudent in an Organized Health Care Education/Training Program1245807395
- Sherifatu Abu, MDInternal Medicine Physician1093372922
Verify Jerrol B. Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Maryland board licenses this profession
Search for license R246272Check 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 2 group practices
- Androscoggin Valley Hospital IncBerlin, NH
- Grady Memorial Hospital CorporationAtlanta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jerrol B. Wallace among 1,062 certified registered nurse anesthetist records in Maryland
Jerrol B. Wallace, CRNA is one of 1,062 certified registered nurse anesthetist records with a practice address in Maryland. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 27% of them.
- NPI issued2007 · 27% of these records are older, 67% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2014 · median 2014 among the 774 with a school on file
- Record last updated2021 · 54% 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 Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
504 certified registered nurse anesthetist records list a practice address in Baltimore
They are 504 of the 35,183 NPPES records with a practice address in Baltimore, and 1,062 certified registered nurse anesthetist records in Maryland.
All 1,062 in Maryland → Every provider in Baltimore → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Henry Boffen, C.R.N.A.Baltimore, MD 212241346206034
- Robin Boynton, C.R.N.A.Baltimore, MD 212241962468991
- Robyn Cooke, C.R.N.A.Baltimore, MD 212241124026281
- Ernest Davila, C.R.N.A.Baltimore, MD 212241659308690
- Julie Gabriel, C.R.N.A.Baltimore, MD 212241063436558
- Andrew Gerstmyer, C.R.N.A.Baltimore, MD 212241891749099
- Laurie Granata, CRNABaltimore, MD 212241891759734
- Mary Kelly, CRNABaltimore, MD 212241386653863
Common questions
What is Jerrol B. Wallace, CRNA's NPI number?
Jerrol B. Wallace, CRNA's National Provider Identifier (NPI) is 1316084932, issued on Jan 31, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jerrol B. Wallace, CRNA located?
The NPPES record lists a practice address at 4940 Eastern Ave, Baltimore, MD, 21224. Phone: (410) 550-0100. Providers update this record themselves, so call before visiting.
How can I verify Jerrol B. Wallace, CRNA's license?
NPPES lists Maryland license number R246272, as entered by the provider. Search the Maryland 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.