Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS WALDNER
NPI 1154905206
Emergency Medicine in Greenville, SC

Q: What is Nicholas Waldner's NPI number?

The NPI number for Nicholas Waldner is 1154905206. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Q: What is Nicholas Waldner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Waldner was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 May 05, 2021PECOS Enrolled

701 GROVE RD FL 1, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, May 5, 2021 (2 updates tracked since 2021).

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About Nicholas Waldner NPPES

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

NICHOLAS WALDNER (NPI 1154905206) is an individual emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (89929) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Rush Medical College Of Rush University (2023).

NPPES Registry Identity

NPI1154905206

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNICHOLAS WALDNER

Location Address701 GROVE RD FL 1Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8603

Phone(864) 455-7899

Fax(864) 455-5474

Sole ProprietorYes

Medical School CMSRush Medical College Of Rush UniversityGraduated 2023

Enumeration DateMay 5, 2021

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1154905206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · 89929

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

701 GROVE RD FL 1, Greenville, SC 29605

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Secondary Practice Location 1

Location 1600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Waldner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052876067

PECOS Enrollment IDI20260721001730

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Waldner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health University Medical Group

0.2 mi

Nurse Practitioner

712 GROVE RD
Greenville, SC 29605

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1053786483 (864) 455-9349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

DR. AMBER GIST LANEY MD

Emergency Medicine