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MRS. KATHRYN ELIZABETH WALLER FNP-C
NPI 1841562907
Nurse Practitioner - Family in Tullahoma, TN

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1805 N JACKSON ST STE 100, TULLAHOMA, TN 37388(931) 455-7767 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kathryn Elizabeth Waller Fnp-c NPPES

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

MRS. KATHRYN ELIZABETH WALLER FNP-C (NPI 1841562907) is an individual family provider in Tullahoma, Tennessee, licensed in Tennessee (16415) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1841562907
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHRYN ELIZABETH WALLERCredential: FNP-C
Location Address1805 N JACKSON ST STE 100Tullahoma, TN 37388-2291
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · Fax (615) 322-5048
Phone(931) 455-7767
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 6, 2012
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1841562907 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 TN · 16415
1805 N JACKSON ST STE 100, Tullahoma, TN 37388
Open in Google Maps ↗

Other Identifiers 1

Medicaid1528507TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kathryn Elizabeth 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 ID4587827407
PECOS Enrollment IDI20120511000483
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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanderbilt Integrated Providers, LLC
0.4 mi
Family Medicine
1440 CEDAR LN
Tullahoma, TN 37388
  • Reassigned Medicare billing, Tennessee enrollment
  • 156 clinicians in this Medicare group
NPI 1982625091 (615) 393-7056

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

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.
109 services97 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.
83 services57 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
62 services27 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.
60 services54 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.
39 services39 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
34 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440058
Location185 Hospital RoadWinchester, TN 37398 · Franklin County
Emergency services Birthing friendly

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$21.34 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
2 suppliers47 claims47 services$119.48 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers19 claims19 services$22.07 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$8.93 avg. paid by Medicare
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$257.55 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 4

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

VANDERBILT INTEGRATED PROVIDERS, LLC
Clinic/Center (Rural Health)
1805 N JACKSON ST STE 100
TULLAHOMA, TN 37388
Coffee County (931) 455-7767
SHELBYVILLE HOSPITAL COMPANY LLC
Clinic/Center (Rural Health)
1805 N JACKSON ST STE 100
TULLAHOMA, TN 37388
Coffee County (931) 455-7767
JUSTIN NEAL MILLER MD
Internal Medicine
1805 N JACKSON ST STE 100
TULLAHOMA, TN 37388
Coffee County (931) 455-7767
DR. COLLIN CRUTCHER BILLS M.D.
Orthopaedic Surgery
1805 N JACKSON ST STE 100
TULLAHOMA, TN 37388
Coffee County (901) 448-5364

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 Kathryn Waller's NPI number?

The NPI number for Kathryn Waller is 1841562907. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Kathryn Waller located?

Kathryn Waller practices at 1805 N Jackson St Ste 100, Tullahoma, TN 37388. The listed phone number is (931) 455-7767.

What is Kathryn Waller's specialty?

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

Is Kathryn Waller enrolled in Medicare?

Yes. Kathryn 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.

Which organization bills Medicare for Kathryn Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Waller reassigns Medicare benefits to Vanderbilt Integrated Providers, LLC (Tullahoma, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Waller accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Kathryn 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 Kathryn Waller affiliated with any hospitals?

According to CMS data, Kathryn Waller is affiliated with Vanderbilt University Medical Center, Southern Tennessee Regional Hlth System Winchester, Vanderbilt Bedford Hospital and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Waller was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.