MR. RICHARD KEITH WALLER APRN
NPI 1215770516
Nurse Practitioner in Edgewood, KY
About Mr. Richard Keith Waller Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RICHARD KEITH WALLER APRN (NPI 1215770516) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (4047540) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Cincinnati.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Mr. Richard Keith Waller Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Richard Waller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Erlanger, KY 41018
- Reassigned Medicare billing, Kentucky enrollment
- 946 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 52 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYBethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41017 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.
EDGEWOOD, KY 41017
EDGEWOOD, KY 41017
EDGEWOOD, KY 41017
EDGEWOOD, KY 41017
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 Richard Waller's NPI number?
The NPI number for Richard Waller is 1215770516. It was assigned to this individual provider in the NPPES registry on June 14, 2024.
Where is Richard Waller located?
Richard Waller practices at 1 Medical Village Drive, Edgewood, KY 41017. The listed phone number is (859) 757-2927.
What is Richard Waller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Richard Waller enrolled in Medicare?
Yes. Richard 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 organizations bill Medicare for Richard Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Waller reassigns Medicare benefits to 2 organizations: Summit Medical Group, Inc (Erlanger, KY) and Kidney And Hypertension Center Inc (Cincinnati, OH). 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 Richard Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Waller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Richard 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 Richard Waller affiliated with any hospitals?
According to CMS data, Richard Waller is affiliated with St Elizabeth Edgewood and Bethesda North.
When was this NPI record last updated?
The NPPES record for Richard Waller was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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. Richard Keith Waller, APRN · NPI 1215770516
Nurse Practitioner physician in Edgewood, Kentucky. Individual provider, active in the CMS NPPES registry since June 14, 2024.
## Identity
- **NPI:** 1215770516 (Entity type: Individual)
- **Enumerated:** June 14, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4047540 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL VILLAGE DRIVE, Edgewood, KY 41017-3403
- **Phone:** (859) 757-2927
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Summit Medical Group, Inc (NPI 1508287640, Erlanger, KY); Kidney And Hypertension Center Inc (NPI 1306944871, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215770516) · Data from the CMS NPPES public registry.