Kimberly Glendoria Wallen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bozeman, MT

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Kimberly Glendoria Wallen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bozeman, Montana. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Aitkin Community Hospital Inc and her current practice location is 3334 Monida St, Bozeman, Montana. You can reach out to her office (for appointments etc.) via phone at (804) 647-1635.

Kimberly Glendoria Wallen is licensed to practice in Montana (license number 146248) 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 1033575907.

Contact Information

Kimberly Glendoria Wallen, CRNA
3334 Monida St,
Bozeman, MT 59718-8648
(804) 647-1635
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Glendoria Wallen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location3334 Monida St, Bozeman, Montana
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:
  • Kimberly Glendoria Wallen graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1033575907
  • Provider Enumeration Date: 01/08/2016
  • Last Update Date: 08/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052617933
  • Enrollment ID: I20241119002105

Medical Identifiers

Medical identifiers for Kimberly Glendoria Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033575907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 108532 (Kansas)Secondary
367500000XNurse Anesthetist, Certified Registered 146248 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverwood Healthcare CenterAitkin, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aitkin Community Hospital Inc498151469267

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. Kimberly Glendoria Wallen allows following entities to bill medicare on her behalf.
Entity NameLakewood Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841280823
PECOS PAC ID: 1052229671
Enrollment ID: O20031104000411
Entity NameAitkin Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942277835
PECOS PAC ID: 4981514692
Enrollment ID: O20031107000093

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. Kimberly Glendoria Wallen 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
Kimberly Glendoria Wallen, CRNA
3334 Monida St,
Bozeman, MT 59718-8648

Ph: (804) 647-1635		Kimberly Glendoria Wallen, CRNA
3334 Monida St,
Bozeman, MT 59718-8648

Ph: (804) 647-1635

Reviews and Comments


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Mrs. Lauri Louise Ferraro, CRNA
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Medicare: Not Enrolled in Medicare
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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.