KAYLA RENAE WALLER FNP-C
NPI 1417535535
Nurse Practitioner - Family in Tallahassee, FL
About Kayla Renae Waller Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLA RENAE WALLER FNP-C (NPI 1417535535) is an individual family provider in Tallahassee, Florida, licensed in Florida (APRN11011958) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kayla Renae Waller Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kayla Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Georgia enrollment
- 274 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kayla Waller's NPI number?
The NPI number for Kayla Waller is 1417535535. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Kayla Waller located?
Kayla Waller practices at 1219 Hodges Dr, Tallahassee, FL 32308. The listed phone number is (229) 413-3301.
What is Kayla Waller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayla Waller enrolled in Medicare?
Yes. Kayla Waller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kayla Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Waller reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kayla Waller was last updated on April 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kayla Renae Waller, FNP-C · NPI 1417535535
Family physician in Tallahassee, Florida. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1417535535 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11011958 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1219 HODGES DR, Tallahassee, FL 32308-4611
- **Phone:** (229) 413-3301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Care Health Network LLC (NPI 1619368842, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417535535) · Data from the CMS NPPES public registry.