Mrs Kathryn Elizabeth Waller, FNP-C in Tullahoma, TN

Mrs Kathryn Elizabeth Waller, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tullahoma, Tennessee. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vanderbilt Integrated Providers Llc and her current practice location is 1805 N Jackson St Ste 100, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 455-7767.

Mrs Kathryn Elizabeth Waller is licensed to practice in Tennessee (license number 16415) 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 1841562907.

Contact Information

	Mrs Kathryn Elizabeth Waller, FNP-C
	1805 N Jackson St Ste 100, Tullahoma, TN 37388-2291
	(931) 455-7767
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kathryn Elizabeth Waller
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1805 N Jackson St Ste 100, Tullahoma, Tennessee
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 Kathryn Elizabeth Waller graduated from nursing school in 2011

NPI Data:

NPI Number: 1841562907
Provider Enumeration Date: 02/06/2012
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 4587827407
Enrollment ID: I20120511000483

Medical Identifiers

Medical identifiers for Mrs Kathryn Elizabeth Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841562907	NPI	-	NPPES
1528507	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	16415 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nhc Homecare Murfreesboro	Murfreesboro, TN	Home health agency
Adoration Home Health, Llc	Nashville, TN	Home health agency
Vanderbilt University Medical Center	Nashville, TN	Hospital
Tennova Healthcare-harton	Tullahoma, TN	Hospital
Unity Medical Center	Manchester, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanderbilt Integrated Providers Llc	7012817919	71

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 Kathryn Elizabeth Waller allows following entities to bill medicare on her behalf.

Entity Name	Vanderbilt Integrated Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021

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 Kathryn Elizabeth 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 Kathryn Elizabeth Waller, FNP-C 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () -	Mrs Kathryn Elizabeth Waller, FNP-C 1805 N Jackson St Ste 100, Tullahoma, TN 37388-2291 Ph: (931) 455-7767

Reviews and Comments

Nurse Practitioner Nurses in Tullahoma, TN

Sharon Lynn Gilliam, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388 Phone: 931-455-2766 Fax: 931-455-2829
Kellie Marsh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Ledford Mill Rd, Tullahoma, TN 37388 Phone: 931-841-3311
Melissa Ann Perry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-962-4040
Mia Jones Clermont, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln Ste 900, Tullahoma, TN 37388 Phone: 931-455-2674
Robbie M. Webb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4921 Fax: 931-461-4677
Kacy Mikala Kirk, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-455-3400
Kristen George, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Westside Dr Ste 4, Tullahoma, TN 37388 Phone: 931-993-2508 Fax: 877-832-3242

Mrs Kathryn Elizabeth Waller, FNP-C - Medicare Nurse Practitioner in Tullahoma, TN