Kenny Joe Wallen, D.N.P.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

132231 Issued in MT

Practice address

600 State Hwy 91 S
Dillon, MT 59725-7379

Phone

(406) 683-3000

NPI assigned

Jun 1, 2016

Last updated

Dec 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwallen982910@wm.providencedirect.org

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.

• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment NPD
• Community Hospital of Anaconda

  • Critical Access Hospital
  • Anaconda, MT
  • NPI 1205887924
  Medicare reassignment NPD
• Powell County Memorial Hospital Association Inc

  dba Deer Lodge Medical Center

  • Family Medicine Physician
  • Deer Lodge, MT
  • NPI 1841414026
  Medicare reassignment NPD
• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment NPD
• St. John's Lutheran Hospital, Inc.

  dba Cabinet Peaks Medical Center

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Medicare reassignment NPD
• Cook County Hospital District

  dba Cook County North Shore Hospital and Care Center

  • Critical Access Hospital
  • Grand Marais, MN
  • NPI 1487712493
  Medicare reassignment NPD
• Lakewood Health System

  • Critical Access Hospital
  • Staples, MN
  • NPI 1295726362
  Medicare reassignment NPD
• Lakewood Health System

  dba Lakewood Clinic Staples

  • Rural Health Clinic/Center
  • Staples, MN
  • NPI 1841280823
  Medicare reassignment NPD
• Billings Cinic

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1215660840

  Interventional Pain Medicine

  NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714

  Interventional Pain Medicine

  NPD
• Livingston Healthcare

  dba Livingston HealthCare Gardiner

  • Rehabilitation Clinic/Center
  • Gardiner, MT
  • NPI 1225670375
  NPD
• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  NPD

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1649628553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 WHITE HORSE LOOP",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597181223",
            "telephone_number": "918-906-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STATE HWY 91 S",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597257379",
            "telephone_number": "406-683-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5734 Coventry Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468047141",
            "country_code": "US",
            "telephone_number": "260-432-9812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLEN",
        "first_name": "KENNY",
        "middle_name": "JOE",
        "credential": "D.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "132231",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MT",
            "license": "132231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vans Iga of Dillon Inc (Vans Pharmacy)
• Kirk R Vanslyke, DPT
• Molly Anne Viall, OTR/L, MOT, BS, LMT
• Vibrant Lives of Montana
• Timothy Steven Visscher, MD
• Ellen Inez Ward, PTA
• Karen Weed, M.D.
• Patricia Marie Weigle, CRNA
• Amy Wellborn
• Amanda Leigh Wendt, L.M.T

• Certified Registered Nurse Anesthetist in Dillon, MT
• Providers in Dillon, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.