DR. AMANDA ELIZABETH WALLER DO - NPI 1346743127 - Family Medicine in Agana Heights, GU

Q: What is Amanda Waller's NPI number?

The NPI number for Amanda Waller is 1346743127. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Q: What is Amanda Waller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Waller was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Amanda Elizabeth Waller Do NPPES

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

DR. AMANDA ELIZABETH WALLER DO (NPI 1346743127) is an individual family medicine provider in Agana Heights, Guam, licensed in Virginia (0102205760) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fpo.

NPPES Registry Identity

NPI1346743127

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AMANDA ELIZABETH WALLERCredential: DO

Location AddressUS NAVAL HOSPITAL GUAM, FARENHOLT AVE, BLDG 50Agana Heights, GU 96910

Mailing Address200 Mercy CircleCamp Pendleton, CA 92055

Phone(671) 344-9222

Sole ProprietorNo

Enumeration DateMarch 17, 2018

Last NPPES UpdateApril 5, 20245 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1346743127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0102205760

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Practice Location 1

Location 1PSC 455 Box 208FPO, AP 96540-0003 · Phone (671) 344-9222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Elizabeth Waller Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96910 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.