1. Home
  2. Directory
  3. Mississippi
  4. Natchez
  5. Nurse Practitioner
  6. NPI Profile

ANGELA O WALLER FNP
NPI 1194774190
Nurse Practitioner - Family in Natchez, MS

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
89.76/100
CMS Quality Rating
300 HIGHLAND BLVD, SUITE B, NATCHEZ, MS 39120(601) 304-2421 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela O Waller Fnp NPPES

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

ANGELA O WALLER FNP (NPI 1194774190) is an individual family provider in Natchez, Mississippi, licensed in New Mexico (CNP65978) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Humboldt General Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194774190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA O WALLERCredential: FNP
Location Address300 HIGHLAND BLVD, SUITE BNatchez, MS 39120-4600
Mailing Address530 Demoss StreetLordsburg, NM 88045-4600 · (575) 542-8384
Phone(601) 304-2421
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 8, 2006
Last NPPES UpdateJanuary 10, 2022
NPPES CertifiedJanuary 5, 2022
✔ NPI 1194774190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NM · CNP65978✔ Licensed in MS · R853759
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP04732 (LA)
300 HIGHLAND BLVD, Natchez, MS 39120
Open in Google Maps ↗

Other Identifiers 2

Medicaid04705271MS
Medicaid1343447LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Angela O Waller Fnp 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 ID6406868892
PECOS Enrollment IDI20230209003185
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Humboldt General Hospital

Critical Access Hospitals · Winnemucca, NV
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number291308
Location118 East Haskell StreetWinnemucca, NV 89445 · Humboldt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39120 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%25 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%25 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%30 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%20 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%20 patients5/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%20 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%20 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%21 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%20 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
100%20 patients5/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$19.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

I V MEDICINES INC
Pharmacy (Community/Retail Pharmacy)
300 HIGHLAND BLVD, STE E
NATCHEZ, MS 39120
Adams County (601) 442-9853
PREMIER HEALTH & WELLNESS CLINIC LLC
Licensed Practical Nurse
300 HIGHLAND BLVD, SUITE B
NATCHEZ, MS 39120
Adams County (601) 304-2421
AMPUCARE, LLC
Prosthetic/Orthotic Supplier
300 HIGHLAND BLVD, SUITE A
NATCHEZ, MS 39120
Adams County (601) 442-5503
JEFFREY ROSS ANDERSON D.O.
Family Medicine
300 HIGHLAND BLVD, SUITE C
NATCHEZ, MS 39120
Adams County (601) 442-4343

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 Angela Waller's NPI number?

The NPI number for Angela Waller is 1194774190. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Angela Waller located?

Angela Waller practices at 300 Highland Blvd Suite B, Natchez, MS 39120. The listed phone number is (601) 304-2421.

What is Angela Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angela Waller enrolled in Medicare?

Yes. Angela 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 Angela Waller accept?

Health plans from Molina Healthcare list Angela 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 Angela Waller affiliated with any hospitals?

According to CMS data, Angela Waller is affiliated with Humboldt General Hospital.

When was this NPI record last updated?

The NPPES record for Angela Waller was last updated on January 10, 2022. 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.