JOHN WALL – Certified Registered Nurse Anesthetist, NPI 1316044324

JOHN WALL is a healthcare provider. based in Olney, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). The NPI Number for JOHN WALL is 1316044324

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN WALL
NPI
1316044324
Phone
(618) 395-7340
Address
800 E LOCUST ST
Enumeration Date
20 September 2006
Last Update Date
1 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183957340
Graduation Year
1992 (34 years ago)
PAC ID
5193825586
Group Practice PAC ID
3870565732
Professional Enrollment ID
I20070713000823
Address ID
IL624502553OL800XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for JOHN WALL

  • Carle Richland Memorial Hospital, 800, East Locust Street, Olney, Richland County, Illinois, 62450, United States

    OLNEY, IL 624502553

    Phone: (618) 395-7340

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070713000823ICertified Registered Nurse Anesthetist (Crna)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery3330$0
00812Anesthesia for exam of colon using an endoscope3232$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 62450)

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Provider's Procedures

JOHN WALL performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIL62311Injections of substances into lower or sacral spine2217

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870565732View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
-IL
Hospice/Palliative Care, Internal MedicineIL
Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
Diagnostic RadiologyIL
-IL
Interventional RadiologyIL
Emergency MedicineMA

Reviews

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Frequently asked questions

Where can patients find JOHN WALL's NPI?
You can confirm JOHN WALL with NPI 1316044324; it appears in the national provider directory.
Does this profile mean JOHN WALL is currently active?
Yes — JOHN WALL appears active in the national provider directory.
Does JOHN WALL list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for JOHN WALL. Clinical services aligned with this taxonomy classification.
Where does public data place JOHN WALL?
The snapshot lists Olney, Illinois for JOHN WALL; download NPPES for the complete set.
Is JOHN WALL a real provider?
This page reflects official NPPES data for NPI 1316044324. Always confirm identity and privileges with the practice and licensing boards.

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