Doctor profile · Federal record

Dr. Allen Wallace, CRNA

Certified Registered Nurse Anesthetist · Roosevelt, UT

  • NPI 1295798163
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
250 W 300 N
Roosevelt, UT 840662336
(435) 722-6163
fax (435) 722-9291

Credentials & registration

NPPES · NUCC
NPI registered
April 2006 — 20 yrs on file
Profile last updated
November 30, 2007
Specialty taxonomy
367500000X — NUCC code
State license (1)
Utah #192839-4406
Medicaid
UT #D0808

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1295798163. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
30
Distinct HCPCS
1
Medicare allowed
$3,610
HCPCS Description Services Patients Avg allowed
00142 Anesthesia for lens surgery 30 24 $120

In context: peer comparison

Among 1 peers in this city , average services per provider: 30. This provider delivers 1.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Allen Wallace's medical specialty?
Dr. Allen Wallace practices Certified Registered Nurse Anesthetist in Roosevelt, UT.
Where does Dr. Allen Wallace practice?
Dr. Allen Wallace practices at 250 W 300 N, Roosevelt, UT 840662336. Office phone: 4357226163.
What is Dr. Allen Wallace's NPI?
Dr. Allen Wallace's National Provider Identifier (NPI) is 1295798163, issued by NPPES.
What procedures does Dr. Allen Wallace commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142). Source: CMS Medicare Physician & Other Practitioners file.