Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

John Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1265891295

John Wallace, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Las Cruces, New Mexico. Qualified in 2015, 11 years ago. Practices with Novus Colorado Professional Corporation, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, Illinois, Minnesota and New Mexico and 2 more.

Years since qualifying
11
Licensed in
CO, IL, MN, NM, WA, WI
In the registry since
2016
Specialties on file
6
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4351 E Lohman Ave
Las Cruces, NM 88011-8259
Phone: (970) 216-5385
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 333 Smith Ave N, Saint Paul, MN 55102-2344 — (651) 241-4000
  • 2811 Tieton Dr, Yakima, WA 98902-3761 — (970) 216-5385

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA 01415 (NM)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APN.0996269-CRNA (CO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209021371 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2355 (MN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 10406-33 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AP61248892 (WA)

Record details

NPI number1265891295
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 18, 2016
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Novus Colorado Professional Corporation — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients146
Services billed 165 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Novus Colorado Professional Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 12 clinicians in the practice; 9 are shown here.

Other providers in Las Cruces