Angela O Waller, FNP in Natchez, MS - Medicare Nurse Practitioner

Angela O Waller, FNP is a medicare enrolled "Nurse Practitioner - Family" in Natchez, Mississippi. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Laguna Healthcare Corporation, Humboldt General Hospital and her current practice location is 300 Highland Blvd, Suite B, Natchez, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 304-2421.

Angela O Waller is licensed to practice in New Mexico (license number CNP65978) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194774190.

Contact Information

	Angela O Waller, FNP
	300 Highland Blvd, Suite B, Natchez, MS 39120-4600
	(601) 304-2421
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela O Waller
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	300 Highland Blvd, Natchez, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Angela O Waller graduated from nursing school in 2005

NPI Data:

NPI Number: 1194774190
Provider Enumeration Date: 05/08/2006
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6406868892
Enrollment ID: I20230209003185

Medical Identifiers

Medical identifiers for Angela O Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194774190	NPI	-	NPPES
1343447	Medicaid	LA
04705271	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP04732 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	R853759 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	CNP65978 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Humboldt General Hospital	Winnemucca, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Laguna Healthcare Corporation	2365855079	12
Humboldt General Hospital	5193709798	43

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela O Waller allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210

Entity Name	Laguna Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962001024 PECOS PAC ID: 2365855079 Enrollment ID: O20210119000388

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela O Waller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela O Waller, FNP 530 Demoss Street, Lordsburg, NM 88045-4600 Ph: (575) 542-8384	Angela O Waller, FNP 300 Highland Blvd, Suite B, Natchez, MS 39120-4600 Ph: (601) 304-2421

Reviews and Comments

Nurse Practitioner Nurses in Natchez, MS

Dawn Moss, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 Highland Blvd, Natchez, MS 39120 Phone: 601-442-7676 Fax: 601-442-9590
Kenzie Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Sergeant Prentiss Dr, Natchez, MS 39120 Phone: 601-445-1715 Fax: 601-445-6720
Warren Lane Merriett Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Northgate Rd, Suite 2, Natchez, MS 39120 Phone: 601-442-7141 Fax: 601-442-7343
Courtney Jeffus, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Sgt Prentiss Dr, Natchez, MS 39120 Phone: 601-443-2680
Charla Wurster Knapp, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 John R Junkin Dr, Natchez, MS 39120 Phone: 601-445-1715 Fax: 601-445-6720
Dr. Carolyn B Dollar, APRN BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 Benbrook, 1495-a Us Highway 61 South, Woodville, Ms 39669, Natchez, MS 39120 Phone: 601-446-5315
Erica F Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 308 Highland Blvd, Natchez, MS 39120 Phone: 601-442-7676 Fax: 601-442-9590

Angela O Waller, FNP - Medicare Nurse Practitioner in Natchez, MS