Shannon Wallack, CRNA
NPI 1255578068 · Certified Registered Nurse Anesthetist · Saint Paul, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Wallack, CRNA is a Certified Registered Nurse Anesthetist provider in Saint Paul, MN (NPI 1255578068).
Provider details
- NPI number
- 1255578068
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 517 (MN)
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 tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
14 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Procedure on Nerves, Muscles, Tendons, and Tissue of Forearm, Wrist, and Hand01810 | 14 | $73 |
Typical Medicare-allowed amounts for these services range $73–$73 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 2525 Chicago AveMinneapolis, MN 55404Phone: (612) 813-6121
Registry dates
- Enumerated
- 2009-01-15
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Shannon Wallack's NPI number?
- Shannon Wallack's National Provider Identifier (NPI) is 1255578068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Wallack's specialty?
- Shannon Wallack is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Wallack located?
- Shannon Wallack's practice location on file with NPPES is 435 Phalen Blvd, Saint Paul, MN 55130-5302.
- What is Shannon Wallack's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wallack is (651) 254-8080.
- Does Shannon Wallack accept Medicare?
- Shannon Wallack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Wallack's NPI active?
- Yes — Shannon Wallack's NPI (1255578068) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.