Individual provider Active NPI

Russell K Walston, CRNA

  • Certified Registered Nurse Anesthetist
  • Oro Valley, AZ
National Provider Identifier
1235648916
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-01530 Issued in NM
Practice address
1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone
(520) 901-3500
NPI assigned
Sep 25, 2017
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA-01530 NM Primary
Registered Nurse 163W00000X 8000945-3102 UT

Addresses

Primary practice location

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Other practice location 1

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

Other practice location 2

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 609-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180327001414 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224390547 Reassigns benefits to 3 organizations
I20240216000671 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224390547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Medical University of South Carolina College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Moab Valley Healthcare, Inc.Group PAC ID 2466361720, 18 clinicians
Anesthesia Associates of New Mexico P CGroup PAC ID 4385536564, 32 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657

450 Williams Way
Moab, UT 84532-2185
Phone (435) 719-3500

4801 Beckner Rd
Santa Fe, NM 87507-3641
Phone (505) 772-1234

8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Phone (505) 841-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
8000945-3102UTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Moab Valley Healthcare, Inc. CurrentSince Dec 4, 2023 Accepting new patients
St. Vincent Hospital CurrentSince Nov 1, 2022 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Feb 1, 2024 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Jan 5, 2020 Accepting new patients
St Vincent Hospital Current Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Jan 5, 2020 Accepting new patients
Moab Valley Healthcare, Inc CurrentSince Dec 4, 2023 Accepting new patients
St Vincent Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
Anesthesia Associates of New Mexico P C CurrentSince Mar 1, 2026 Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

1631 Hospital Dr
Ste 100
Santa Fe, NM 87505
Phone (505) 955-8420

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1235648916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E TANGERINE RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556213",
            "telephone_number": "520-901-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Saint Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "87505",
            "country_code": "US",
            "telephone_number": "505-913-3361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015630",
            "country_code": "US",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSTON",
        "first_name": "RUSSELL",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01530",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8000945-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.