MR. EDWARD NICHOLAS WALLER FNP-BC
NPI 1124672118
Nurse Practitioner - Family in Cambridge, MA
About Mr. Edward Nicholas Waller Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD NICHOLAS WALLER FNP-BC (NPI 1124672118) is an individual family provider in Cambridge, Massachusetts, licensed in Massachusetts (RN2306059) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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. Edward Nicholas Waller Fnp-bc 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMBRIDGE, MA 02142
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 Edward Waller's NPI number?
The NPI number for Edward Waller is 1124672118. It was assigned to this individual provider in the NPPES registry on July 29, 2019.
Where is Edward Waller located?
Edward Waller practices at 25 Carleton St, Cambridge, MA 02142. The listed phone number is (617) 253-4481.
What is Edward Waller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Edward Waller enrolled in Medicare?
Yes. Edward 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 Edward Waller was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Edward Nicholas Waller, FNP-BC · NPI 1124672118
Family physician in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since July 29, 2019.
## Identity
- **NPI:** 1124672118 (Entity type: Individual)
- **Enumerated:** July 29, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2306059 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 CARLETON ST, Cambridge, MA 02142-1323
- **Phone:** (617) 253-4481
## 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 2019
## Record status
- **NPPES last updated:** July 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1124672118) · Data from the CMS NPPES public registry.