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KATIE WALLER F.N.P.
NPI 1972971018
Nurse Practitioner - Family in Woodland, CA

Active since September 06, 2015
96.5/100
CMS Quality Rating
1321 COTTONWOOD ST FL 3, WOODLAND, CA 95695(530) 668-2600(530) 661-2410 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2018, Feb 23, 2016, Jan 29, 2016 (3 updates tracked since 2016).

About Katie Waller F.n.p. NPPES

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

KATIE WALLER F.N.P. (NPI 1972971018) is an individual family provider in Woodland, California, licensed in California (95002750) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1972971018
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATIE WALLERCredential: F.N.P.
Location Address1321 COTTONWOOD ST FL 3Woodland, CA 95695
Mailing Address3400 Data Dr, Attn: Credentialing Payer EnrollmentRancho Cordova, CA 95670-7956
Phone(530) 668-2600
Fax(530) 661-2410
Sole ProprietorNo
Enumeration DateSeptember 6, 2015
Last NPPES UpdateJune 28, 20183 updates tracked since enumeration
✔ NPI 1972971018 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 CA · 95002750
1321 COTTONWOOD ST FL 3, Woodland, CA 95695
Open in Google Maps ↗

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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

MRS. KRISTEN M WEBSTER PA-C
Physician Assistant
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600
CAROLYN RHENE MERKOURIS MD
Specialist
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600
DR. MY-LE TO D.O.
Obstetrics & Gynecology
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600
NATHANIEL B NGO MD
Obstetrics & Gynecology
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600
MRS. EMESE C PARKER NP
Nurse Practitioner (Obstetrics & Gynecology)
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600
NATASHA SIMON PA-C
Physician Assistant
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600
MS. KIMBERLY LYNN STERNER CNM
Advanced Practice Midwife
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600
RAFIQ A. SHEIKH MD
Internal Medicine (Gastroenterology)
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Yolo County (530) 668-2600

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 Katie Waller's NPI number?

The NPI number for Katie Waller is 1972971018. It was assigned to this individual provider in the NPPES registry on September 6, 2015.

Where is Katie Waller located?

Katie Waller practices at 1321 Cottonwood St Fl 3, Woodland, CA 95695. The listed phone number is (530) 668-2600.

What is Katie Waller's specialty?

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

When was this NPI record last updated?

The NPPES record for Katie Waller was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.