BONNIE WALLER
NPI 1871150383
Counselor - Professional in Eureka, MO
About Bonnie Waller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNIE WALLER (NPI 1871150383) is an individual professional provider in Eureka, Missouri, licensed in Missouri (2016026454) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bonnie Waller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bonnie Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Cruces, NM 88011
- Reassigned Medicare billing, Missouri enrollment
- 60 clinicians in this Medicare group
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 3
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EUREKA, MO 63025
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 Bonnie Waller's NPI number?
The NPI number for Bonnie Waller is 1871150383. It was assigned to this individual provider in the NPPES registry on May 21, 2019.
Where is Bonnie Waller located?
Bonnie Waller practices at 97 Hilltop Village Center Dr, Eureka, MO 63025. The listed phone number is (314) 374-1620.
What is Bonnie Waller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Bonnie Waller enrolled in Medicare?
Yes. Bonnie Waller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bonnie Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Waller reassigns Medicare benefits to Deer Oaks Mental Health Associates PC (Las Cruces, NM). 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 Bonnie Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bonnie Waller accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Bonnie 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.
When was this NPI record last updated?
The NPPES record for Bonnie Waller was last updated on April 4, 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.
# Bonnie Waller · NPI 1871150383
Professional provider in Eureka, Missouri. Individual provider, active in the CMS NPPES registry since May 21, 2019.
## Identity
- **NPI:** 1871150383 (Entity type: Individual)
- **Enumerated:** May 21, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2016026454 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 97 HILLTOP VILLAGE CENTER DR, Eureka, MO 63025-3922
- **Phone:** (314) 374-1620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Deer Oaks Mental Health Associates PC (NPI 1134175763, Las Cruces, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871150383) · Data from the CMS NPPES public registry.