KENSIE WALLER FNP
NPI 1730635681
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Kensie Waller's NPI number?

The NPI number for Kensie Waller is 1730635681. It was assigned to this individual provider in the NPPES registry on August 31, 2016. The provider is also known as Kensie Wagner Fnp.

Q: What is Kensie Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kensie Waller was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment

3834 S. EMERSON AVE, BLDG C, STE 100, INDIANAPOLIS, IN 46203(317) 782-1577(317) 780-5538 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2018, May 11, 2017, Mar 22, 2017 and 3 more (6 updates tracked since 2016).

On this page

About Kensie Waller Fnp NPPES

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

KENSIE WALLER FNP (NPI 1730635681) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71006978A) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730635681

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENSIE WALLERCredential: FNP

Location Address3834 S. EMERSON AVE, BLDG C, STE 100Indianapolis, IN 46203

Mailing AddressPo Box 3299Carson City, NV 89702-3299 · (317) 782-1577 · Fax (317) 780-5538

Phone(317) 782-1577

Fax(317) 780-5538

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 31, 2016

Last NPPES UpdateAugust 1, 20186 updates tracked since enumeration

✔ NPI 1730635681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71006978A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28216896A (IN)

3834 S. EMERSON AVE, Indianapolis, IN 46203

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Other Names 1

Former Name (1)Kensie Wagner Fnp

Other Identifiers 2

MedicaidPENDINGIN

OtherPENDINGIN · Anthem Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kensie Waller Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466737796

PECOS Enrollment IDI20170328002092

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46203 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims403 services$4.42 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims6,660 services$1.09 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers14 claims14 services$19.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$63.63 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$15.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kensie Waller's NPI number?

The NPI number for Kensie Waller is 1730635681. It was assigned to this individual provider in the NPPES registry on August 31, 2016. The provider is also known as Kensie Wagner Fnp.

Where is Kensie Waller located?

Kensie Waller practices at 3834 S. Emerson Ave Bldg C, Ste 100, Indianapolis, IN 46203. The listed phone number is (317) 782-1577.

What is Kensie Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kensie Waller enrolled in Medicare?

Yes. Kensie Waller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kensie Waller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kensie 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.

Is Kensie Waller affiliated with any hospitals?

According to CMS data, Kensie Waller is affiliated with Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kensie Waller was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.