Mrs Christal Alantha Waller, APN in Mobile, AL

Mrs Christal Alantha Waller, APN is a medicare enrolled "Nurse Practitioner - Family" in Mobile, Alabama. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivy Medical Group Pllc, Baptist Medical Group Llc, Ivy Medical Group Pllc, Ivy Medical Group Pllc and her current practice location is 6720 Grelot Rd Ste D, Mobile, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 444-1999.

Mrs Christal Alantha Waller is licensed to practice in Alabama (license number 1-058493) 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 1194974188.

Contact Information

	Mrs Christal Alantha Waller, APN
	6720 Grelot Rd Ste D, Mobile, AL 36695-2698
	(251) 444-1999
	(251) 444-1998

Map and Direction

Provider's Profile

Full Name	Mrs Christal Alantha Waller
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	6720 Grelot Rd Ste D, Mobile, Alabama
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:

Mrs Christal Alantha Waller graduated from nursing school in 2015

NPI Data:

NPI Number: 1194974188
Provider Enumeration Date: 09/15/2008
Last Update Date: 07/16/2025

Medicare PECOS Information:

PECOS PAC ID: 1759557739
Enrollment ID: I20231102002344

Medical Identifiers

Medical identifiers for Mrs Christal Alantha Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194974188	NPI	-	NPPES
AP09037	Other	LA	ADVANCED PRACTICE REGISTERED NURSE
A03113	Other	AR	ARKANSAS STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-058493 (Alabama)	Primary
363LF0000X	Nurse Practitioner - Family	APRN11026008 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Hospital	Pensacola, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivy Medical Group Pllc	4981097797	96
Baptist Medical Group Llc	9638215734	231
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96

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. Mrs Christal Alantha Waller allows following entities to bill medicare on her behalf.

Entity Name	Baptist Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376779892 PECOS PAC ID: 9638215734 Enrollment ID: O20091002000436

Entity Name	Ivy Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20230313000522

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. Mrs Christal Alantha 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
Mrs Christal Alantha Waller, APN 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439	Mrs Christal Alantha Waller, APN 6720 Grelot Rd Ste D, Mobile, AL 36695-2698 Ph: (251) 444-1999

Reviews and Comments

Nurse Practitioner Nurses in Mobile, AL

Mrs. Jennifer Gallagher Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Center St, Ste 1s, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3852
Mrs. Kathleen R. Carlen-magnone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581
Kayla Clemons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770
Mackenzie Krebsbach Roberts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7565
Lauren Marie Mcminn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7456
Katherine Kinsaul, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2620
Wesley Kyle Dees, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281

Mrs Christal Alantha Waller, APN - Medicare Nurse Practitioner in Mobile, AL