Cameron Wallace, CRNA
NPI 1174456578 · Certified Registered Nurse Anesthetist · Charleston, WV
Cameron Wallace, CRNA is a Certified Registered Nurse Anesthetist provider in Charleston, WV (NPI 1174456578).
Provider details
- NPI number
- 1174456578
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 109296 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Cameron Wallace's NPI number?
- Cameron Wallace's National Provider Identifier (NPI) is 1174456578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cameron Wallace's specialty?
- Cameron Wallace is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cameron Wallace located?
- Cameron Wallace's practice location on file with NPPES is 3200 Maccorkle Ave Se, Charleston, WV 25304-1227.
- What is Cameron Wallace's phone number?
- The practice phone number listed in the NPPES registry for Cameron Wallace is (304) 388-5432.
- Is Cameron Wallace's NPI active?
- Yes — Cameron Wallace's NPI (1174456578) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.