WALLER ANESTHESIA SERVICES LLC
NPI 1225929771
Nurse Anesthetist, Certified Registered in Fond Du Lac, WI

NPI Status: Active since July 14, 2025

Contact Information

55 W SCOTT ST
FOND DU LAC, WI
ZIP 54935
Phone: (708) 275-7914
Fax: (408) 698-8411

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  • Organization
  • Nurse Anesthetist, Certified Registered

About WALLER ANESTHESIA SERVICES LLC

This page provides the complete NPI Profile along with additional information for Waller Anesthesia Services Llc, a provider established in Fond Du Lac, Wisconsin operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1225929771 assigned on July 2025. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Christine Marie Waller Crna Apnp (Owner)

NPI
1225929771
Provider Name
WALLER ANESTHESIA SERVICES LLC
Entity Type
Organization
Location Address
55 W SCOTT ST FOND DU LAC, WI 54935
Location Phone
(708) 275-7914
Location Fax
(408) 698-8411
Mailing Address
27 WHISPERING SPRINGS CT FOND DU LAC, WI 54937
Mailing Phone
(708) 275-7914
Mailing Fax
(408) 698-8411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2025
Last Update Date
07-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CHRISTINE MARIE WALLER CRNA APNP

Authorized Official Title
OWNER
Authorized Official Phone
(708) 275-7914

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225929771, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 1 + 8 + 2 + 1 + 8 + 7 + 1 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1225929771.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225929771, enumerated as an "organization" on July 14, 2025.

The provider is located at 55 W SCOTT ST FOND DU LAC, WI 54935 and the phone number is (708) 275-7914.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.