Jimmie Lou Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in North Little Rock, AR

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Jimmie Lou Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in North Little Rock, Arkansas. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Middle Arkansas Sedation Associates, Pllc and her current practice location is 5201 N Shore Dr, North Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 748-8000.

Jimmie Lou Wallace is licensed to practice in Arkansas (license number CO1312 CRNA) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326129958.

Contact Information

Jimmie Lou Wallace, CRNA
5201 N Shore Dr,
North Little Rock, AR 72118-5312
(501) 748-8000
(501) 748-8159

Map and Direction




Provider's Profile

Full NameJimmie Lou Wallace
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience24 Years
Location5201 N Shore Dr, North Little Rock, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jimmie Lou Wallace graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1326129958
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5698753861
  • Enrollment ID: I20040713000903

Medical Identifiers

Medical identifiers for Jimmie Lou Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326129958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CO1312 CRNA (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Middle Arkansas Sedation Associates, Pllc44860689886

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jimmie Lou Wallace allows following entities to bill medicare on her behalf.
Entity NameLittle Rock Diagnostic Clinic, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497784854
PECOS PAC ID: 8820985138
Enrollment ID: O20040302000483
Entity NameArkansas Heart Hospital Rural Health Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548553811
PECOS PAC ID: 6204004815
Enrollment ID: O20110727000090
Entity NameArkansas Heart Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558653212
PECOS PAC ID: 6002838653
Enrollment ID: O20110729000327
Entity NameGastro Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366700890
PECOS PAC ID: 3577727700
Enrollment ID: O20120619000424
Entity NameBp Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942736285
PECOS PAC ID: 8325319429
Enrollment ID: O20170808002928
Entity NameClinical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518265966
PECOS PAC ID: 8325217904
Enrollment ID: O20181221000427
Entity NameMiddle Arkansas Sedation Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447849633
PECOS PAC ID: 4486068988
Enrollment ID: O20210125001069

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jimmie Lou Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jimmie Lou Wallace, CRNA
4 Shackleford Plz, Suite 212,
Little Rock, AR 72211-1826

Ph: (501) 223-9991		Jimmie Lou Wallace, CRNA
5201 N Shore Dr,
North Little Rock, AR 72118-5312

Ph: (501) 748-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in North Little Rock, AR

Dustin J Brazil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Springhill Dr, North Little Rock, AR 72117
Phone: 501-771-4693    Fax: 501-771-4885
Robert W Conner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3343 Springhill Dr, North Little Rock, AR 72117
Phone: 501-771-4693    Fax: 501-771-4885
Mrs. Jessica Laile Baker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5201 Northshore Dr, North Little Rock, AR 72118
Phone: 501-748-8000    
Darren Neil Kitchens, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Springhill Dr, North Little Rock, AR 72117
Phone: 501-202-3000    
Charles Clinton Caddy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Springhill Dr, North Little Rock, AR 72117
Phone: 501-202-3000    
Felicia Marie Woodall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4111 John F Kennedy Blvd, North Little Rock, AR 72116
Phone: 501-499-3605    
Merrill Parks, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Springhill Dr, North Little Rock, AR 72117
Phone: 501-202-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.