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Gerald Adrian Wallace , CRNA

Registered Nurse • Redmond, OR

Active NPI 1265478416 Individual Practitioner Male Practitioner
Practice location in NPPES

1253 Nw Canal Blvd
Redmond, OR 977561334

Call 5415848131 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1253 Nw Canal Blvd

Redmond, OR 977561334

Telephone 5415848131
Organization at the Same NPPES Address or Phone
Wallace Anesthesia Services Pc Facility NPI 1528000874

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Redmond and Oregon

26 active clinicians are listed under Registered Nurse with a practice address in Redmond, OR (2,451 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Redmond

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
029121 (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Andrew Adamski , MD

Emergency Medicine

NPI 1306874011

Doctor of Medicine (M.D.)

Dr. Jacoby Allen , DO

Emergency Medicine

NPI 1396068748

Doctor of Osteopathic Medicine (D.O.)

Dr. Andrew Asher , MD

Emergency Medicine

NPI 1871766774

Doctor of Medicine (M.D.)

NPI 1790281640

Doctor of Medicine (M.D.)

Mackenzie Bartz , PA-C

Physician Assistant

NPI 1225619141

Physician Assistant (Certified)

Olivia Boots , CRNA

Nurse Anesthetist, Certified Registered

NPI 1992280747

Certified Registered Nurse Anesthetist

Career & Practice History

NPI enumerated June 22, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265478416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

Po Box 4008

Portland, OR 972084008

Phone: 5033722740

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.