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

Kimberly Glendoria Wallen, CRNA

Individual provider Registered Nurse · NPI 1033575907

Kimberly Glendoria Wallen, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bozeman, Montana. Qualified in 2015, 11 years ago. Practices with Cuyuna Regional Medical Center, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Kansas and Montana.

Years since qualifying
11
Licensed in
ID, KS, MT
In the registry since
2016
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

3334 Monida St
Bozeman, MT 59718-8648
Phone: (804) 647-1635
Show map & directions

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

Additional practice locations (1)

  • 600 Mt Highway 91 S, Dillon, MT 59725-7379 — (406) 683-3000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2081405 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 1081405 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 108532 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 146248 (MT)

Record details

NPI number1033575907
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 8, 2016
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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 Cuyuna Regional Medical Center — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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