Jerrol Wallace, CRNA
NPI 1316084932 · Certified Registered Nurse Anesthetist · Baltimore, MD
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerrol Wallace, CRNA is a Certified Registered Nurse Anesthetist provider in Baltimore, MD (NPI 1316084932).
Provider details
- NPI number
- 1316084932
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 0024167758 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
19 yrs in NPPES 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
- 2007-01-31
- Last updated
- 2021-02-16
- Certified
- 2021-02-16
Frequently asked questions
- What is Jerrol Wallace's NPI number?
- Jerrol Wallace's National Provider Identifier (NPI) is 1316084932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerrol Wallace's specialty?
- Jerrol Wallace is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jerrol Wallace located?
- Jerrol Wallace's practice location on file with NPPES is 4940 Eastern Ave, Baltimore, MD 21224-2735.
- What is Jerrol Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jerrol Wallace is (410) 550-0100.
- Does Jerrol Wallace accept Medicare?
- Jerrol Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerrol Wallace's NPI active?
- Yes — Jerrol Wallace's NPI (1316084932) is active in the NPPES registry as of the last update on 2021-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.