JENNIFER LYNN WALLER APRN
NPI 1821728395
Nurse Practitioner - Family in Tampa, FL

Active since June 16, 2022PECOS Enrolled
14502 N DALE MABRY HWY STE 200, TAMPA, FL 33618(800) 640-3451 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Lynn Waller Aprn NPPES

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

JENNIFER LYNN WALLER APRN (NPI 1821728395) is an individual family provider in Tampa, Florida, licensed in Florida (11017307) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821728395
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYNN WALLERCredential: APRN
Location Address14502 N DALE MABRY HWY STE 200Tampa, FL 33618-2040
Mailing AddressPo Box 914Lehi, UT 84043-1189 · (800) 640-3451
Sole ProprietorNo
Enumeration DateJune 16, 2022
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1821728395 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 FL · 11017307
14502 N DALE MABRY HWY STE 200, Tampa, FL 33618

Other Names 1

Professional Name (2)Jennifer Lynn Waller Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Lynn Waller Aprn 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.

Areas of Expertise CMS Part B claims 10

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.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
1,152 services23 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.
179 services44 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
174 services24 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.
125 services27 patients
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
98 services12 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
77 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33618 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Nurse Practitioner
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Nurse Practitioner (Family)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Counselor (Mental Health)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Counselor (Mental Health)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Social Worker (Clinical)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Social Worker (Clinical)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Family Medicine
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Nurse Practitioner (Family)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618

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 Jennifer Waller's NPI number?

The NPI number for Jennifer Waller is 1821728395. It was assigned to this individual provider in the NPPES registry on June 16, 2022. The provider is also known as Jennifer Lynn Waller Aprn.

Where is Jennifer Waller located?

Jennifer Waller practices at 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618. The listed phone number is (800) 640-3451.

What is Jennifer Waller's specialty?

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

Is Jennifer Waller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Waller was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.