SYDNEY WALLER PA
NPI 1689429581
Physician Assistant - Medical in Aurora, CO

Active since April 23, 2024PECOS Enrolled
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Apr 23, 2024 (2 updates tracked since 2024).

About Sydney Waller Pa NPPES

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

SYDNEY WALLER PA (NPI 1689429581) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0009243) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Colorado School Of Medicine, Aurora (2025).

NPPES Registry Identity

NPI1689429581
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSYDNEY WALLERCredential: PA
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2025
Enumeration DateApril 23, 2024
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
NPI 1689429581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0009243
13123 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 113001 E 17th Pl Rm E7019Aurora, CO 80045-2570 · Phone (303) 724-7963

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 (PECOS)

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

PECOS PAC ID4981102233
PECOS Enrollment IDI20250807000994
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.

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Sydney Waller's NPI number?

The NPI number for Sydney Waller is 1689429581. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Sydney Waller located?

Sydney Waller practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Sydney Waller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sydney Waller enrolled in Medicare?

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

What insurance does Sydney Waller accept?

Health plans from Medica list Sydney 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 Sydney Waller was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.