Jessica Wallace, CRNA
NPI 1710507371 · Certified Registered Nurse Anesthetist · Portland, OR
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Wallace, CRNA is a Certified Registered Nurse Anesthetist provider in Portland, OR (NPI 1710507371).
Provider details
- NPI number
- 1710507371
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- AP61087180 (WA)
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1959 Ne Pacific StSeattle, WA 98195-0001Phone: (206) 520-5000
Registry dates
- Enumerated
- 2020-04-23
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Frequently asked questions
- What is Jessica Wallace's NPI number?
- Jessica Wallace's National Provider Identifier (NPI) is 1710507371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Wallace's specialty?
- Jessica Wallace is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Wallace located?
- Jessica Wallace's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Jessica Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jessica Wallace is (503) 494-7641.
- Does Jessica Wallace accept Medicare?
- Jessica Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Wallace's NPI active?
- Yes — Jessica Wallace's NPI (1710507371) is active in the NPPES registry as of the last update on 2022-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.