RACHEL RENEE WALLACE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669719175
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO
Provider Addresses for RACHEL RENEE WALLACE (CRNA)
PO BOX 1085
CORTEZ, CO 813211085
Phone:
Type: Mailing
35505 Road K.1
Mancos, CO 813288978
Phone: (918) 284-2163
Type: Location
1311 N Mildred Rd
Cortez, CO 81321
Phone: (970) 555-6666
Type: Location
6839 S Canton Ave
Tulsa, OK 741363402
Phone: (918) 494-0612
Fax: (918) 481-5170
Type: Location
1311 N MILDRED RD
CORTEZ, CO 81321
Phone: (970) 555-6666
Type: Location
35505 ROAD K.1
MANCOS, CO 813288978
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151210000489 | I | Certified Registered Nurse Anesthetist (Crna) | SC | 2023-12-31 |
| I20190617000691 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 29 | 29 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 22 | 22 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 16 | 16 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 81321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | NM | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | MI |
Reviews
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