ALICIA JEANNE WALDRAB APRN
NPI 1205399482
Nurse Practitioner - Family in Louisville, KY
About Alicia Jeanne Waldrab Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA JEANNE WALDRAB APRN (NPI 1205399482) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3017979) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alicia Jeanne Waldrab Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Alicia Waldrab reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40212
- Reassigned Medicare billing, Kentucky enrollment
- 69 clinicians in this Medicare group
Pine Grove, PA 17963
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Allentown, PA 18101
- Reassigned Medicare billing, Pennsylvania enrollment
- 52 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
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 40212 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alicia Waldrab's NPI number?
The NPI number for Alicia Waldrab is 1205399482. It was assigned to this individual provider in the NPPES registry on April 13, 2019.
Where is Alicia Waldrab located?
Alicia Waldrab practices at 2215 Portland Ave, Louisville, KY 40212. The listed phone number is (502) 774-8631.
What is Alicia Waldrab's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Waldrab enrolled in Medicare?
Yes. Alicia Waldrab is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alicia Waldrab's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Waldrab reassigns Medicare benefits to 4 organizations: Family Health Centers, Inc. (Louisville, KY), Lehigh Valley Physician Group (Pine Grove, PA), Neighborhood Health Centers Of The Lehigh Valley (Allentown, PA) and Family Care Centers Inc (East Stroudsburg, PA). Each 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 Alicia Waldrab's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Waldrab accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Alicia Waldrab 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 Alicia Waldrab was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alicia Jeanne Waldrab, APRN · NPI 1205399482
Family physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since April 13, 2019.
## Identity
- **NPI:** 1205399482 (Entity type: Individual)
- **Enumerated:** April 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3017979 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 2215 PORTLAND AVE, Louisville, KY 40212-1033
- **Phone:** (502) 774-8631
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Health Centers, Inc. (NPI 1518963230, Louisville, KY); Lehigh Valley Physician Group (NPI 1437911807, Pine Grove, PA); Neighborhood Health Centers Of The Lehigh Valley (NPI 1942439385, Allentown, PA); Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205399482) · Data from the CMS NPPES public registry.