NYASHA WALLER CM, LM
NPI 1538810197
Advanced Practice Midwife in Brooklyn, NY

Active since January 14, 2022PECOS Enrolled
188 THROOP AVE STE 1R, BROOKLYN, NY 11206(347) 395-4082 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nyasha Waller Cm, Lm NPPES

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

NYASHA WALLER CM, LM (NPI 1538810197) is an individual advanced practice midwife in Brooklyn, New York, licensed in New York (002097) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538810197
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameNYASHA WALLERCredential: CM, LM
Location Address188 THROOP AVE STE 1RBrooklyn, NY 11206-5331
Mailing Address4719 Beverley RdBrooklyn, NY 11203-5227
Sole ProprietorYes
Enumeration DateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1538810197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NY · 002097
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
188 THROOP AVE STE 1R, Brooklyn, NY 11206

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nyasha Waller Cm, Lm 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nyasha Waller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 427 clinicians in this Medicare group
General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 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 11206 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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

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

Advanced Practice Midwife
188 THROOP AVE STE 1R
BROOKLYN, NY 11206

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 Nyasha Waller's NPI number?

The NPI number for Nyasha Waller is 1538810197. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Nyasha Waller located?

Nyasha Waller practices at 188 Throop Ave Ste 1R, Brooklyn, NY 11206. The listed phone number is (347) 395-4082.

What is Nyasha Waller's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nyasha Waller enrolled in Medicare?

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

Which organizations bill Medicare for Nyasha Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nyasha Waller reassigns Medicare benefits to 2 organizations: Wyckoff Professional Medical Services, PC (Brooklyn, NY) and Advantagecare Physicians PC (New York, NY). 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 Nyasha 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 Nyasha Waller was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.