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KATHERINE CIMINELLI WALLER APNP
NPI 1013525096
Nurse Practitioner - Pediatrics in New Berlin, WI

Active since July 16, 2020PECOS Enrolled
4855 S MOORLAND RD FL 3, NEW BERLIN, WI 53151(262) 432-7599(262) 432-7694 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2022, Sep 1, 2020, Jul 16, 2020 (3 updates tracked since 2020).

About Katherine Ciminelli Waller Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE CIMINELLI WALLER APNP (NPI 1013525096) is an individual pediatrics provider in New Berlin, Wisconsin, licensed in Wisconsin (10304) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013525096
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHERINE CIMINELLI WALLERCredential: APNP
Location Address4855 S MOORLAND RD FL 3New Berlin, WI 53151-7494
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 337-7050 · Fax (414) 337-7020
Phone(262) 432-7599
Fax(262) 432-7694
Sole ProprietorNo
Enumeration DateJuly 16, 2020
Last NPPES UpdateMarch 9, 20223 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1013525096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WI · 10304
4855 S MOORLAND RD FL 3, New Berlin, WI 53151
Open in Google Maps ↗

Other Identifiers 1

Medicaid1013525096WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Ciminelli Waller Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARL J PELUSO M.D.
Pediatrics
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
MS. ANDREA FOX APRN
Nurse Practitioner (Pediatrics)
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
VIANE FAILY MD
Pediatrics
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
TOM PHAM MD
Pediatrics (Pediatric Emergency Medicine)
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
MRS. JULIA FISCHER ROMEISER M.D.
Pediatrics
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
JILL M CZAJKOWSKI MD
Pediatrics
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
REBECCA GAYLE MARTINIE MD
Pediatrics
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
DR. BIANKA MARTINEZ DO
Pediatrics
4855 S MOORLAND RD FL 3
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Waller's NPI number?

The NPI number for Katherine Waller is 1013525096. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Katherine Waller located?

Katherine Waller practices at 4855 S Moorland Rd Fl 3, New Berlin, WI 53151. The listed phone number is (262) 432-7599.

What is Katherine Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Katherine Waller enrolled in Medicare?

Yes. Katherine Waller is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Waller accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Katherine Waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Waller was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.