JOHN L WALLER CRNA
NPI 1427105980
Nurse Anesthetist, Certified Registered in Reidsville, NC

Active since January 05, 2007Accepts Medicare Assignment
618 S MAIN ST, REIDSVILLE, NC 27320(336) 951-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John L Waller Crna NPPES

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

JOHN L WALLER CRNA (NPI 1427105980) is an individual nurse anesthetist, certified registered in Reidsville, North Carolina, licensed in North Carolina (038610) and active in the NPI registry since January 2007. He is affiliated with Wilkes Regional Medical Center and is a graduate of University Of Minnesota Medical School (1986).

NPPES Registry Identity

NPI1427105980
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHN L WALLERCredential: CRNA
Location Address618 S MAIN STReidsville, NC 27320-5020
Mailing AddressPo Box 26580Greensboro, NC 27415-6580 · (336) 832-7786
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1986
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1427105980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NC · 038610
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
618 S MAIN ST, Reidsville, NC 27320

Accepted Insurance

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

John L Waller Crna 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 ID7911193073
PECOS Enrollment IDI20101201000531

Hospital Affiliations CMS Care Compare

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

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340064
Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27320 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

Speech-Language Pathologist
618 S MAIN ST
REIDSVILLE, NC 27320
Nurse Anesthetist, Certified Registered
618 S MAIN ST
REIDSVILLE, NC 27320
Occupational Therapy Assistant
618 S MAIN ST
REIDSVILLE, NC 27320
Physician Assistant
618 S MAIN ST
REIDSVILLE, NC 27320
Pathology (Anatomic Pathology & Clinical Pathology)
618 S MAIN ST
REIDSVILLE, NC 27320
Physician Assistant
618 S MAIN ST
REIDSVILLE, NC 27320
Pathology (Anatomic Pathology & Clinical Pathology)
618 S MAIN ST
REIDSVILLE, NC 27320
Registered Nurse
618 S MAIN ST
REIDSVILLE, NC 27320

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 John Waller's NPI number?

The NPI number for John Waller is 1427105980. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is John Waller located?

John Waller practices at 618 S Main St, Reidsville, NC 27320. The listed phone number is (336) 951-4000.

What is John Waller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is John Waller enrolled in Medicare?

Yes. John Waller 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.

What insurance does John Waller accept?

Health plans from Oscar Health Plan of North Carolina, Inc list John 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.

Is John Waller affiliated with any hospitals?

According to CMS data, John Waller is affiliated with Wilkes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Waller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.