KATIE WALLER
NPI 1043074396
Nurse Practitioner - Psychiatric/Mental Health in Fort Smith, AR

Active since February 07, 2024PECOS Enrolled
3111 S 70TH ST, FORT SMITH, AR 72903(903) 749-1755 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Waller NPPES

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

KATIE WALLER (NPI 1043074396) is an individual psychiatric/mental health provider in Fort Smith, Arkansas, licensed in Arkansas (227616) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043074396
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATIE WALLER
Location Address3111 S 70TH STFort Smith, AR 72903-5017
Mailing Address1014 Red Oak StElkins, AR 72727-7201 · (903) 749-1755
Sole ProprietorNo
Enumeration DateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
NPI 1043074396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AR · 227616
3111 S 70TH ST, Fort Smith, AR 72903

Accepted 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)

Katie Waller 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 20

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

Licensed Practical Nurse
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Psychologist (Clinical)
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903

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 Katie Waller's NPI number?

The NPI number for Katie Waller is 1043074396. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Where is Katie Waller located?

Katie Waller practices at 3111 S 70th St, Fort Smith, AR 72903. The listed phone number is (903) 749-1755.

What is Katie Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Katie Waller enrolled in Medicare?

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

What insurance does Katie Waller accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Katie 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 Katie Waller was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.