EMILY WALLER
NPI 1083582126
Nurse Practitioner - Acute Care in Birmingham, AL

Q: What is Emily Waller's NPI number?

The NPI number for Emily Waller is 1083582126. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Q: What is Emily Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Emily Waller was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since October 29, 2025PECOS EnrolledAccepts Medicare Assignment

619 19TH ST S, BIRMINGHAM, AL 35233(205) 975-3409(205) 996-7560 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Jan 7, 2026 (2 updates tracked since 2026).

On this page

About Emily Waller NPPES

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

EMILY WALLER (NPI 1083582126) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-192053) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083582126

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameEMILY WALLER

Location Address619 19TH ST SBirmingham, AL 35233-1900

Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 975-3409 · Fax (205) 996-7560

Phone(205) 975-3409

Fax(205) 996-7560

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 29, 2025

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1083582126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AL · 1-192053

619 19TH ST S, Birmingham, AL 35233

Open in Google Maps ↗

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

Emily Waller 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.

PECOS PAC ID941796635

PECOS Enrollment IDI20251231003865

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 35233 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

SASHA KAISER MD

Emergency Medicine (Medical Toxicology)