1. Home
  2. Directory
  3. NPI Profile

URSULA F WALLER
NPI 1679986988
Nurse Anesthetist, Certified Registered in Buckhead, GA

Active since June 04, 2014
128 MARSHALL RD, BUCKHEAD, GA 30625(706) 473-6192(706) 485-9254 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ursula F Waller NPPES

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

URSULA F WALLER (NPI 1679986988) is an individual nurse anesthetist, certified registered in Buckhead, Georgia, licensed in Georgia (1540540) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1679986988
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameURSULA F WALLER
Location Address128 MARSHALL RDBuckhead, GA 30625-2906
Mailing Address128 Marshall RdBuckhead, GA 30625-2906 · (706) 473-6192 · Fax (706) 485-9254
Phone(706) 473-6192
Fax(706) 485-9254
Sole ProprietorNo
Enumeration DateJune 4, 2014
Last NPPES UpdateMay 27, 2016
✔ NPI 1679986988 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
Licenses✔ Licensed in GA · 1540540✔ Licensed in FL · 9299664✔ Licensed in OH · COA.17161-NA
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.
128 MARSHALL RD, Buckhead, GA 30625
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ursula F Waller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

6

Medicare enrollment records show Ursula Waller reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ispm ASC At Covington, LLC
30 mi
Ambulatory Surgical
5303 ADAMS STREET, SUITE C
Covington, GA 30014
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Mulkey Anesthesiology Associates, PC
  • 112 clinicians in this Medicare group
NPI 1528297140 (770) 929-9033
Gi Anesthesia Of Georgia LLC
64 mi
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
NPI 1326569187 (404) 888-7575
Anesthesia Services Of North Georgia LLC
65 mi
Nurse Anesthetist, Certified Registered
625 S ENOTA DR NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 28 clinicians in this Medicare group
NPI 1386216604 (770) 532-0292
Concordia Anesthesiology, Inc
67 mi
Anesthesiology
183 MYSTIC PLACE NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 201 clinicians in this Medicare group
NPI 1619296464 (404) 478-8785
Coastal Ambulatory Anesthesia LLC
164 mi
Anesthesiology
1139 LEXINGTON AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 468 clinicians in this Medicare group
NPI 1750753786 (912) 429-9020
Anesthesia Dynamics LLC
413 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Georgia enrollment
  • 386 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
33 services33 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

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 Ursula Waller's NPI number?

The NPI number for Ursula Waller is 1679986988. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Ursula Waller located?

Ursula Waller practices at 128 Marshall Rd, Buckhead, GA 30625. The listed phone number is (706) 473-6192.

What is Ursula Waller's specialty?

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

Is Ursula Waller enrolled in Medicare?

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

Which organizations bill Medicare for Ursula Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ursula Waller reassigns Medicare benefits to 6 organizations: Ispm ASC At Covington, LLC (Covington, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA), Anesthesia Services Of North Georgia LLC (Gainesville, GA), Concordia Anesthesiology, Inc (Atlanta, GA), Coastal Ambulatory Anesthesia LLC (Savannah, GA) and 1 more organization, listed in the Medicare section above. 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 Ursula Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ursula Waller accept?

Health plans from Oscar Health and Oscar Insurance Company list Ursula 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 Ursula Waller was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.