MRS. KIMBERLY L WALLER PA-C
NPI 1093782914
Physician Assistant in Grants Pass, OR
About Mrs. Kimberly L Waller Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY L WALLER PA-C (NPI 1093782914) is an individual physician assistant in Grants Pass, Oregon, licensed in Oregon (PA01142) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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 and accepts Medicare assignment
Mrs. Kimberly L Waller Pa-c 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORMercy Medical Center
Acute Care Hospitals · Roseburg, ORCurry General Hospital
Critical Access Hospitals · Gold Beach, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
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 Kimberly Waller's NPI number?
The NPI number for Kimberly Waller is 1093782914. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Kimberly L Colpitts Pa-C.
Where is Kimberly Waller located?
Kimberly Waller practices at 1701 NW Hawthorne Ave, Grants Pass, OR 97526. The listed phone number is (541) 471-3455.
What is Kimberly Waller's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kimberly Waller enrolled in Medicare?
Yes. Kimberly 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.
What insurance does Kimberly Waller accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly 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.
Is Kimberly Waller affiliated with any hospitals?
According to CMS data, Kimberly Waller is affiliated with Asante Three Rivers Medical Center, Mercy Medical Center and Curry General Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Waller was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Kimberly L Waller, PA-C · NPI 1093782914
Physician Assistant physician in Grants Pass, Oregon. Individual provider, active in the CMS NPPES registry since March 1, 2006.
## Identity
- **NPI:** 1093782914 (Entity type: Individual)
- **Enumerated:** March 1, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA01142 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 NW HAWTHORNE AVE, Grants Pass, OR 97526-1051
- **Phone:** (541) 471-3455
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** October 28, 2019
- **Other identifiers:** Medicaid 100503226 (NV); Medicaid 100503581 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1093782914) · Data from the CMS NPPES public registry.