Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey A Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1013576990

Kelsey A Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Springfield, Illinois. Qualified in 2019, 7 years ago. Practices with Memorial Medical Center, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

701 N 1st St
Springfield, IL 62781-0001
Phone: (217) 788-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209019523 (IL)

Record details

NPI number1013576990
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESJune 17, 2019
Mailing addressPo Box 3428, Springfield, IL 62708-3428

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Memorial Medical Center — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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