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

Wallace Eugene Ralston, CRNA

Individual provider Nurse Practitioner · NPI 1972556447

Wallace Eugene Ralston, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marshall, Missouri. Qualified in 2004, 22 years ago. Practices with John Fitzgibbon Memorial Hospital Inc, a 46-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2006
Specialties on file
2
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

2305 S 65 Hwy
Marshall, MO 65340
Phone: (660) 886-3554
Fax: (660) 831-3308
Show map & directions

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

Additional practice locations (2)

  • 2301 Holmes St, Kansas City, MO 64108-2640 — (816) 404-1127
  • 7900 Lees Summit Rd, Kansas City, MO 64139-1236 — (816) 404-9382

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 152532 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2020034592 (MO)

Record details

NPI number1972556447
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address2305 South 65 Highway, Marshall, MO 65340-2640

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice John Fitzgibbon Memorial Hospital Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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