Individual provider Active NPI

Kristi Ann Wallin, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1982069902
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R237848 Issued in MD
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 349-8310
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 RN590031 PA
Certified Registered Nurse Anesthetist 367500000X R237848 MD Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238

Other practice location 1

10710 Charter Dr Ste 120
Columbia, MD 21044-3258
Phone (410) 772-7345

Other practice location 2

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190907000019 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537467535 Reassigns benefits to 1 organization
I20190907000042 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537467535 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians
Anesthesia Solutions, LLCGroup PAC ID 3971651126, 10 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 120
Columbia, MD 21044-3258
Phone (410) 772-7345

1111 Beards Hill Rd
Suite 700
Aberdeen, MD 21001-2275
Phone (240) 394-4365

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

Hospital & facility affiliations

  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Aug 15, 2025 Accepting new patients
Chesapeake Digestive Associates, PC CurrentSince Sep 20, 2025 Accepting new patients
Johns Hopkins University Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
Digestive Disease Associates, LLC CurrentSince Feb 2, 2026 Accepting new patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2025 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Lifebridge Community Gastroenterology, LLC CurrentSince Aug 16, 2025 Accepting new patients
Anesthesia Solutions, LLC CurrentSince Aug 22, 2025 Accepting new patients
Digestive Disease Associates, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Dr Wendy Kloesz, M.D., P.a Past Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

1111 Beards Hill Rd
Ste 700
Aberdeen, MD 21001
Phone (240) 394-4365

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

2401 W Belvedere Ave
Baltimore, MD 21215

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

600 N Wolfe St
Baltimore, MD 21287

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

10710 Charter Dr
Ste 120
Columbia, MD 21044
Phone (410) 772-7345

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

19 Fontana Ln
Ste 104
Rosedale, MD 21237
Phone (410) 574-7776

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

1220 E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

Interoperability endpoints

  • Direct secure messaging: kwallin643699@direct.umm.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1982069902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-349-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Charter Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443258",
            "country_code": "US",
            "telephone_number": "410-772-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN590031",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R237848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.