CARLY WALLER
NPI 1821780735
Student in an Organized Health Care Education/Training Program in Reno, NV

Active since May 22, 2023PECOS EnrolledAccepts Medicare Assignment
18600 WEDGE PKWY, RENO, NV 89511(775) 283-8461 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2024, May 22, 2023 (2 updates tracked since 2023).

About Carly Waller NPPES

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

CARLY WALLER (NPI 1821780735) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821780735
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLY WALLER
Location Address18600 WEDGE PKWYReno, NV 89511-3036
Mailing Address235 Terrace StAshland, OR 97520-2834 · (775) 283-8461
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 22, 2023
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1821780735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
18600 WEDGE PKWY, Reno, NV 89511

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

Carly Waller 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 ID4385171768
PECOS Enrollment IDI20241224000920
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 3

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR
OwnershipGovernment - Local
CMS Certification Number380005
Location280 Maple StreetAshland, OR 97520 · Jackson County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY, UNRSOM PA STUDIES PROGRAM
RENO, NV 89511
Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY
RENO, NV 89511
Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY
RENO, NV 89511
Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY
RENO, NV 89511
Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY
RENO, NV 89511
Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY
RENO, NV 89511
Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY
RENO, NV 89511
Student in an Organized Health Care Education/Training Program
18600 WEDGE PKWY
RENO, NV 89511

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 Carly Waller's NPI number?

The NPI number for Carly Waller is 1821780735. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Carly Waller located?

Carly Waller practices at 18600 Wedge Pkwy, Reno, NV 89511. The listed phone number is (775) 283-8461.

What is Carly Waller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carly Waller enrolled in Medicare?

Yes. Carly 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.

Is Carly Waller affiliated with any hospitals?

According to CMS data, Carly Waller is affiliated with Asante Three Rivers Medical Center, Asante Ashland Community Hospital and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Carly Waller was last updated on November 6, 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.