Ansley Waller, MSN, APRN, AGACNP-BC - Medicare Registered Nurse in Bedford, TX

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Ansley Waller, MSN, APRN, AGACNP-BC is a medicare enrolled "Registered Nurse - Gerontology" in Bedford, Texas. Her current practice location is 2425 Highway 121 Ste 201, Bedford, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 283-5166.

Ansley Waller is licensed to practice in Texas (license number 1097452) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285354985.

Contact Information

Ansley Waller, MSN, APRN, AGACNP-BC
2425 Highway 121 Ste 201,
Bedford, TX 76021-5011
(817) 283-5166
(817) 283-5176

Map and Direction




Provider's Profile

Full NameAnsley Waller
GenderFemale
SpecialityRegistered Nurse - Gerontology
Location2425 Highway 121 Ste 201, Bedford, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285354985
  • Provider Enumeration Date: 09/01/2022
  • Last Update Date: 01/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527430248
  • Enrollment ID: I20230207000304

Medical Identifiers

Medical identifiers for Ansley Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285354985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1097452 (Texas)Secondary
163WG0600XRegistered Nurse - Gerontology 1097452 (Texas)Primary

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. Ansley Waller allows following entities to bill medicare on her behalf.
Entity NameNtkc-dfw, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467000828
PECOS PAC ID: 8820138464
Enrollment ID: O20091212000091

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. Ansley 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 AddressPractice Location Address
Ansley Waller, MSN, APRN, AGACNP-BC
3801 William D Tate Ave Ste 105,
Grapevine, TX 76051-8755

Ph: (817) 488-6812		Ansley Waller, MSN, APRN, AGACNP-BC
2425 Highway 121 Ste 201,
Bedford, TX 76021-5011

Ph: (817) 283-5166

Reviews and Comments


Registered Nurse Nurses in Bedford, TX

Hung Pham, PMHNP-BC
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3901 Airport Fwy, Bedford, TX 76021
Phone: 817-354-5200    
Mr. Drew T Newcomer, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1005 Overhill Dr, Bedford, TX 76022
Phone: 318-537-3250    
Henrietta Okpagu,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2447 L Don Dodson Dr, Bedford, TX 76021
Phone: 214-971-6842    
Mrs. Jennifer Jeannine Choate, NP-C
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2808 Shady Grove Dr, Bedford, TX 76021
Phone: 580-235-1497    
Michael Gragory Hartfield, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1520 Bedford Rd Apt 1211, Bedford, TX 76021
Phone: 972-207-5632    
Mr. Thomas Doak Bannister Iv, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 221 Bedford Rd, Bedford, TX 76022
Phone: 817-268-0104    
Kelly Marlene Persons, CRNFA
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1604 Hospital Parkway, Suite 402, Bedford, TX 76022
Phone: 817-399-1622    Fax: 817-540-0843

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.