BRENT STEVEN WALLER FNP-BC
NPI 1356973432
Nurse Practitioner - Family in Anaheim, CA

Q: What is Brent Waller's NPI number?

The NPI number for Brent Waller is 1356973432. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Q: What is Brent Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Waller was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since February 06, 2020PECOS Enrolled

3400 W BALL RD STE 207, ANAHEIM, CA 92804(714) 683-5100 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brent Steven Waller Fnp-bc NPPES

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

BRENT STEVEN WALLER FNP-BC (NPI 1356973432) is an individual family provider in Anaheim, California, licensed in California (95013038) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356973432

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRENT STEVEN WALLERCredential: FNP-BC

Location Address3400 W BALL RD STE 207Anaheim, CA 92804-3737

Mailing Address766 S Langtree LnAnaheim, CA 92807-4897

Phone(714) 683-5100

Sole ProprietorYes

Enumeration DateFebruary 6, 2020

Last NPPES UpdateFebruary 7, 2020

✔ NPI 1356973432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95013038

3400 W BALL RD STE 207, Anaheim, CA 92804

Open in Google Maps ↗

Other Identifiers 1

Other95013038CA · Ca Brn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent Steven Waller Fnp-bc 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.

Areas of Expertise CMS Part B claims 2

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.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

80 services37 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92804 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES

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

DR. ANOOSHIRAVAN HAMI M.D.

Internal Medicine (Pulmonary Disease)

3400 W BALL RD STE 207
ANAHEIM, CA 92804

Orange County (714) 826-7440

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 Brent Waller's NPI number?

The NPI number for Brent Waller is 1356973432. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Brent Waller located?

Brent Waller practices at 3400 W Ball Rd Ste 207, Anaheim, CA 92804. The listed phone number is (714) 683-5100.

What is Brent Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brent Waller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brent Waller was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.