JODI WALLER FNP-C
NPI 1811303670
Nurse Practitioner - Family in Mccomb, MS

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
12.32/100
CMS Quality Rating
300 RAWLS DR STE 1500, MCCOMB, MS 39648(855) 615-7246 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodi Waller Fnp-c NPPES

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

JODI WALLER FNP-C (NPI 1811303670) is an individual family provider in Mccomb, Mississippi, licensed in Mississippi (R883312) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811303670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJODI WALLERCredential: FNP-C
Location Address300 RAWLS DR STE 1500Mccomb, MS 39648-2878
Mailing Address1055 Anglin RdSummit, MS 39666-7018 · (601) 303-6809
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 1, 2014
NPI 1811303670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R883312
300 RAWLS DR STE 1500, Mccomb, MS 39648

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 and accepts Medicare assignment

Jodi Waller Fnp-c 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 ID3779703905
PECOS Enrollment IDI20141009002064
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.

Areas of Expertise CMS Part B claims 17

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
746 services300 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
733 services114 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
669 services293 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
264 services131 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
215 services138 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
186 services186 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250057
Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County
Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39648 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

12.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost41.09

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.25 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers14 claims14 services$59.81 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 supplier12 claims12 services$119.41 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$24.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Durable Medical Equipment & Medical Supplies
300 RAWLS DR STE 1500
MCCOMB, MS 39648
Anesthesiology (Pain Medicine)
300 RAWLS DR STE 1500
MCCOMB, MS 39648

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 Jodi Waller's NPI number?

The NPI number for Jodi Waller is 1811303670. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Jodi Waller located?

Jodi Waller practices at 300 Rawls Dr Ste 1500, Mccomb, MS 39648. The listed phone number is (855) 615-7246.

What is Jodi Waller's specialty?

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

Is Jodi Waller enrolled in Medicare?

Yes. Jodi 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 Jodi Waller accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Jodi 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 Jodi Waller affiliated with any hospitals?

According to CMS data, Jodi Waller is affiliated with King's Daughters Medical Center-Brookhaven and Southwest Ms Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jodi Waller was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.