DR. NIKKI WADDELL MD
NPI 1265456388
Internal Medicine in Alexandria, VA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
5901 KINGSTOWNE VILLAGE PKWY, SUITE 300, ALEXANDRIA, VA 22315(571) 384-6304(571) 384-6309 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nikki Waddell Md NPPES

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

DR. NIKKI WADDELL MD (NPI 1265456388) is an individual internal medicine provider in Alexandria, Virginia, licensed in Virginia (0101239628) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (2002).

NPPES Registry Identity

NPI1265456388
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIKKI WADDELLCredential: MD
Location Address5901 KINGSTOWNE VILLAGE PKWY, SUITE 300Alexandria, VA 22315-5880
Mailing AddressPo Box 17334Baltimore, MD 21297-1334 · (703) 443-6717 · Fax (703) 443-8643
Fax(571) 384-6309
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2002
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 24, 2012
NPI 1265456388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101239628
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5901 KINGSTOWNE VILLAGE PKWY, Alexandria, VA 22315

Other Identifiers 1

Medicare PIN233305ZBTPDC

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

Dr. Nikki Waddell Md 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 ID7517983240
PECOS Enrollment IDI20070416000530, I20080512000081
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 9

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.
255 services77 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
49 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
44 services27 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.
41 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
40 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22315 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Obstetrics & Gynecology
5901 KINGSTOWNE VILLAGE PKWY
ALEXANDRIA, VA 22315
Psychologist (Clinical Child & Adolescent)
5901 KINGSTOWNE VILLAGE PKWY, SUITE 300
ALEXANDRIA, VA 22315
Specialist
5901 KINGSTOWNE VILLAGE PKWY, SUITE 200
ALEXANDRIA, VA 22315
Physical Therapist
5901 KINGSTOWNE VILLAGE PKWY, SUITE 301
ALEXANDRIA, VA 22315
Chiropractor
5901 KINGSTOWNE VILLAGE PKWY, SUITE 100
ALEXANDRIA, VA 22315
Internal Medicine (Sleep Medicine)
5901 KINGSTOWNE VILLAGE PKWY, SUITE 101
ALEXANDRIA, VA 22315
Acupuncturist
5901 KINGSTOWNE VILLAGE PKWY
ALEXANDRIA, VA 22315
Clinic/Center (Physical Therapy)
5901 KINGSTOWNE VILLAGE PKWY
ALEXANDRIA, VA 22315

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 Nikki Waddell's NPI number?

The NPI number for Nikki Waddell is 1265456388. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Nikki Waddell located?

Nikki Waddell practices at 5901 Kingstowne Village Pkwy Suite 300, Alexandria, VA 22315. The listed phone number is (571) 384-6304.

What is Nikki Waddell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nikki Waddell enrolled in Medicare?

Yes. Nikki Waddell 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.

Is Nikki Waddell affiliated with any hospitals?

According to CMS data, Nikki Waddell is affiliated with Inova Alexandria Hospital and Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Nikki Waddell was last updated on July 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.