MR. SPENCER WALLER FNP
NPI 1033629241
Nurse Practitioner in Pueblo, CO
About Mr. Spencer Waller Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SPENCER WALLER FNP (NPI 1033629241) is an individual nurse practitioner in Pueblo, Colorado, licensed in Colorado (ANP.0993430-NP) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pueblo, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Spencer Waller Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Spencer Waller's NPI number?
The NPI number for Spencer Waller is 1033629241. It was assigned to this individual provider in the NPPES registry on October 3, 2017.
Where is Spencer Waller located?
Spencer Waller practices at 1619 N Greenwood St Ste 309, Pueblo, CO 81003. The listed phone number is (719) 544-7115.
What is Spencer Waller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Spencer Waller enrolled in Medicare?
Yes. Spencer Waller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Spencer Waller was last updated on March 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.
