CHRISTINE M WALLER (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1720063738
Certified Registered Nurse Anesthetist
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NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
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Provider Addresses for CHRISTINE M WALLER (C.R.N.A.)
4025, North 92nd Street, Grantosa, Wauwatosa, Milwaukee County, Wisconsin, 53222, United States
WAUWATOSA, WI 532221613
Phone: (414) 358-5431
Type: Mailing
620 W Brown St
Waupun, WI 539631702
Phone: (920) 324-5581
Type: Location
4025 N 92nd St
Wauwatosa, WI 532221613
Phone: (414) 358-5431
Type: Location
707 S University Ave
Beaver Dam, WI 539163027
Phone: (920) 887-7181
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
8901 W LINCOLN AVE
WEST ALLIS, WI 532272409
Phone: (414) 328-6000
Type: Location
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.
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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: 2004-10-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041001000706 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
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.
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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 31 | 29 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 14 | 14 | $0 |
Insurance plans in this area (ZIP 53222)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 00142 | Anesthesia for lens surgery | 160 | 146 |
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 16 | 16 |
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IN |
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