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ANSLEY WALLER MSN, APRN, AGACNP-BC
NPI 1285354985
Registered Nurse - Gerontology in Bedford, TX

Active since September 01, 2022PECOS Enrolled
2425 HIGHWAY 121 STE 201, BEDFORD, TX 76021(817) 283-5166(817) 283-5176 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Oct 21, 2022, Sep 1, 2022 (3 updates tracked since 2022).

About Ansley Waller Msn, Aprn, Agacnp-bc NPPES

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

ANSLEY WALLER MSN, APRN, AGACNP-BC (NPI 1285354985) is an individual gerontology provider in Bedford, Texas, licensed in Texas (1097452) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2022).

NPPES Registry Identity

NPI1285354985
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameANSLEY WALLERCredential: MSN, APRN, AGACNP-BC
Location Address2425 HIGHWAY 121 STE 201Bedford, TX 76021-5011
Mailing Address3801 William D Tate Ave Ste 105Grapevine, TX 76051-8755 · (817) 488-6812 · Fax (817) 251-1303
Phone(817) 283-5166
Fax(817) 283-5176
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2022
Enumeration DateSeptember 1, 2022
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1285354985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License✔ Licensed in TX · 1097452
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1097452 (TX)
2425 HIGHWAY 121 STE 201, Bedford, TX 76021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ansley Waller Msn, Aprn, Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527430248
PECOS Enrollment IDI20230207000304
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

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.
98 services72 patients

Other Providers at the Same Location NPPES 2

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

MIRAIE WARDI D.O
Internal Medicine (Nephrology)
2425 HIGHWAY 121 STE 201
BEDFORD, TX 76021
Tarrant County (817) 283-5166
NTKC-DFW, PLLC
Internal Medicine (Nephrology)
2425 HIGHWAY 121 STE 201
BEDFORD, TX 76021
Tarrant County (817) 283-5166

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 Ansley Waller's NPI number?

The NPI number for Ansley Waller is 1285354985. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Ansley Waller located?

Ansley Waller practices at 2425 Highway 121 Ste 201, Bedford, TX 76021. The listed phone number is (817) 283-5166.

What is Ansley Waller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.

Is Ansley Waller enrolled in Medicare?

Yes. Ansley Waller is registered in the Medicare PECOS enrollment system.

What insurance does Ansley Waller accept?

Health plans from WellPoint list Ansley 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.

When was this NPI record last updated?

The NPPES record for Ansley Waller was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.