NANCY WALLER M.D.
NPI 1508833419
Pediatrics in Minneapolis, MN
About Nancy Waller M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY WALLER M.D. (NPI 1508833419) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (41111) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nancy Waller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Nancy Waller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 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 55454 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Nancy Waller's NPI number?
The NPI number for Nancy Waller is 1508833419. It was assigned to this individual provider in the NPPES registry on March 1, 2006.
Where is Nancy Waller located?
Nancy Waller practices at 701 25th Ave S #306, Minneapolis, MN 55454. The listed phone number is (612) 672-2350.
What is Nancy Waller's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Nancy Waller enrolled in Medicare?
Yes. Nancy Waller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nancy Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Waller reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Clinics (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). Each 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 Nancy Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nancy Waller accept?
Health plans from Sanford Health Plan list Nancy 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 Nancy Waller was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Nancy Waller, M.D. · NPI 1508833419
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 1, 2006.
## Identity
- **NPI:** 1508833419 (Entity type: Individual)
- **Enumerated:** March 1, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 41111 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 25TH AVE S, #306, Minneapolis, MN 55454-1513
- **Phone:** (612) 672-2350
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841428745, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2008
- **Other identifiers:** Medicare UPIN G79765 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1508833419) · Data from the CMS NPPES public registry.