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JESSICA ANN WALLER LCSW
NPI 1194333732
Social Worker - Clinical in Carson City, NV

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
1665 OLD HOT SPRINGS RD, CARSON CITY, NV 89706(775) 687-0874 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2021, Jul 20, 2020 (2 updates tracked since 2020).

About Jessica Ann Waller Lcsw NPPES

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

JESSICA ANN WALLER LCSW (NPI 1194333732) is an individual clinical provider in Carson City, Nevada, licensed in Nevada (8857-C) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minden, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194333732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA ANN WALLERCredential: LCSW
Location Address1665 OLD HOT SPRINGS RDCarson City, NV 89706-0782
Mailing Address2731 Clapham LnMinden, NV 89423-9235 · (775) 720-1802
Phone(775) 687-0874
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2020
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1194333732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 8857-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1665 OLD HOT SPRINGS RD, Carson City, NV 89706
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Secondary Practice Location 1

Location 12731 Clapham LnMinden, NV 89423-9235 · Phone (775) 720-1802

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Ann Waller Lcsw 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 ID9931598604
PECOS Enrollment IDI20211118000862
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 Jessica Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Nevada
Same address
Mental Health (Including Community Mental Health Center)
1665 OLD HOT SPRINGS RD STE 150
Carson City, NV 89706
  • Reassigned Medicare billing, Nevada enrollment
  • 143 clinicians in this Medicare group
NPI 1699865949 (775) 687-0870

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 89706 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
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
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.

DAWN LYNN SCHEETZ RN
Registered Nurse (Psychiatric/Mental Health)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Carson City (775) 687-7573
KATHLEEN BENT LCSW
Social Worker (Clinical)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Carson City (775) 687-4195
REBEKAH BOCK LCSW
Social Worker (Clinical)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Carson City (775) 687-4195
MR. ROBERT LEE CIMINSKI JR. R.N.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Carson City (775) 687-0886
PATRICK MCCLOSKEY
Case Manager/Care Coordinator
1665 OLD HOT SPRINGS RD, SUITE 157
CARSON CITY, NV 89706
Carson City (775) 687-5162
DR. DONALD MACIVER CAMPBELL PSYD
Psychologist (Clinical)
1665 OLD HOT SPRINGS RD, STE 150
CARSON CITY, NV 89706
Carson City (775) 687-0896
ERIN CLUBB
Case Manager/Care Coordinator
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Carson City (775) 687-4195
DANIEL F. GUNNARSON PHD
Psychologist (Clinical)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Carson City (775) 687-4195

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 Jessica Waller's NPI number?

The NPI number for Jessica Waller is 1194333732. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Jessica Waller located?

Jessica Waller practices at 1665 Old Hot Springs Rd, Carson City, NV 89706. The listed phone number is (775) 687-0874.

What is Jessica Waller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Waller enrolled in Medicare?

Yes. Jessica 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.

Which organization bills Medicare for Jessica Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Waller reassigns Medicare benefits to State Of Nevada (Carson City, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Waller accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Jessica 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 Jessica Waller was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.