Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REBECCA LYNN WALDON NURSE PRACTITIONER
NPI 1689630170
Nurse Practitioner - Gerontology in Memphis, TN

Q: What is Rebecca Waldon's NPI number?

The NPI number for Rebecca Waldon is 1689630170. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Q: What is Rebecca Waldon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Waldon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.

Active since April 24, 2006PECOS Enrolled

1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Rebecca Lynn Waldon Nurse Practitioner NPPES

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

REBECCA LYNN WALDON NURSE PRACTITIONER (NPI 1689630170) is an individual gerontology provider in Memphis, Tennessee, licensed in Tennessee (APN0000005904) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689630170

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameREBECCA LYNN WALDONCredential: NURSE PRACTITIONER

Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127

Mailing Address1960 N Parkway, #109Memphis, TN 38112-5002 · (901) 276-5784

Phone(901) 523-8990

Sole ProprietorNo

Enumeration DateApril 24, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1689630170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TN · APN0000005904

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0000005904 (TN)

1030 JEFFERSON AVE, Memphis, TN 38104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Lynn Waldon Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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.

MISS DEBORAH GERISE KARTHEISER RN

Registered Nurse (Psychiatric/Mental Health)