Active NPI
Sasha A. Wallace, APRN-CRNA
- Certified Registered Nurse Anesthetist
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 846752
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-2200
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 019863 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 846752 | NV | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
3623 Mount Laurel Rd
Cleveland Heights, OH 44121-1328
Phone (216) 650-6222
Other practice location 1
410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487
Other practice location 2
7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395
Phone (702) 878-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2565 E Flamingo Rd
Las Vegas, NV 89121-5203
Phone (702) 697-7900
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-8434
8656 W Patrick LN
Las Vegas, NV 89148-5043
Phone (702) 777-7100
9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019863 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Anesthesia, Inc | Current | Accepting new patients | |
| Valley Anesthesiology Consultants-Beckett-PLLC | Current | Accepting new patients | |
| Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
10120 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 487-6880
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Henderson, NV
- NPI 1437326857
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1699710749
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1720181514
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1154888493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 MOUNT LAUREL RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441211328",
"telephone_number": "216-650-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-444-2200"
}
],
"practiceLocations": [
{
"address_1": "410 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101240",
"country_code": "US",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7160 Rafael Rivera Way Ste 210",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891135395",
"country_code": "US",
"telephone_number": "702-878-0070",
"fax_number": "702-805-0307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLACE",
"first_name": "SASHA",
"middle_name": "A.",
"credential": "APRN-CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "019863",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "846752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.