Doctor profile · Federal record
Dr. Shelby Wallace, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Peoria, IL
- NPI 1982267696
- Accepts Medicare
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8600 State Route 91 Ste 250
Peoria, IL 616157831
(309) 692-5393
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Illinois #209-019301
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1982267696. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
55
Distinct HCPCS
2
Medicare allowed
$13,372
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 33 | 33 | $102 | |
00560 |
Anesthesia for procedure on heart and large blood vessels | 22 | 22 | $455 |
In context: peer comparison
Among 40 peers in this city , average services per provider: 30. This provider delivers 1.8× the peer median.Open Payments
Industry payments received
All-time total
$216
Transactions
6
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Chiesi USA, Inc. | 3 | $142.13 | |
| Pacira Pharmaceuticals Incorporated | 2 | $46.12 | |
| Merck Sharp & Dohme LLC | 1 | $27.31 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Shelby Wallace's medical specialty?
Dr. Shelby Wallace practices Certified Registered Nurse Anesthetist in Peoria, IL.
Where does Dr. Shelby Wallace practice?
Dr. Shelby Wallace practices at 8600 State Route 91 Ste 250, Peoria, IL 616157831. Office phone: 3096925393.
What is Dr. Shelby Wallace's NPI?
Dr. Shelby Wallace's National Provider Identifier (NPI) is 1982267696, issued by NPPES.
Does Dr. Shelby Wallace accept Medicare assignment?
Yes. Dr. Shelby Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shelby Wallace commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142); Anesthesia for procedure on heart and large blood vessels (HCPCS 00560). Source: CMS Medicare Physician & Other Practitioners file.