Adam Waller, NP

ActiveIndividual ProviderNurse Practitioner
NPI issued: August 4, 2020

Quick Facts

NPI Number
1508476615
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363L00000X — Nurse Practitioner
Phone
(618) 937-3400
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1508476615)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 4, 2020)
Data source: CMS NPPES

Provider Overview

ADAM WALLER, NP is a Nurse Practitioner provider based in West Frankfort, IL who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1508476615
Provider TypeIndividual Provider
GenderMale
CredentialNP
StatusActive
Enumeration DateAugust 4, 2020

Practice Location

CityWest Frankfort
StateIL
ZIP Code62896-1968
Phone(618) 937-3400

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363L00000X
License StateIL

Mailing Address

CityWest Frankfort
StateIL
ZIP Code62896-1968
Phone(618) 937-3400
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1508476615 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1508476615for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1508476615 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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95,352
Nurse Practitioner Providers in the US

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Krysten Whitehead, APRN FNP-C

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People Also Ask

What is Adam Waller's NPI number?
Adam Waller's NPI number is 1508476615, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Adam Waller's NPI currently active?
Yes, Adam Waller's NPI status is Active as of the latest CMS NPPES database updates.
What does Adam Waller specialize in?
Adam Waller specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363L00000X.
Where does Adam Waller practice?
Adam Waller practices in West Frankfort, IL 62896-1968.
When was Adam Waller's NPI issued?
Adam Waller's NPI was issued on August 4, 2020.
What is Adam Waller's provider type?
Adam Waller is registered as an Individual Provider under CMS NPI Type 1.