Kensie Waller, FNP in Indianapolis, IN - Medicare Nurse Practitioner

Kensie Waller, FNP is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Commonwealth Pain Associates Pllc and her current practice location is 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 782-1577.

Kensie Waller is licensed to practice in Indiana (license number 71006978A) 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 1730635681.

Contact Information

	Kensie Waller, FNP
	3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203
	(317) 782-1577
	(317) 780-5538

Map and Direction

Provider's Profile

Full Name	Kensie Waller
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	3834 S. Emerson Ave, Indianapolis, Indiana
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:

Kensie Waller graduated from nursing school in 2016

NPI Data:

NPI Number: 1730635681
Provider Enumeration Date: 08/31/2016
Last Update Date: 08/01/2018

Medicare PECOS Information:

PECOS PAC ID: 2466737796
Enrollment ID: I20170328002092

Medical Identifiers

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

Identifier	Type	State	Issuer
1730635681	NPI	-	NPPES
PENDING	Medicaid	IN
PENDING	Other	IN	ANTHEM PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28216896A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71006978A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Commonwealth Pain Associates Pllc	0941441919	112

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. Kensie Waller allows following entities to bill medicare on her behalf.

Entity Name	Advanced Healthcare Associates, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841225091 PECOS PAC ID: 0244219848 Enrollment ID: O20040716000962

Entity Name	Commonwealth Pain Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20150504001876

Entity Name	Directed Rehabilitation Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063037398 PECOS PAC ID: 2860819372 Enrollment ID: O20200828002277

Entity Name	Usacs Long Term Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881373090 PECOS PAC ID: 2466806062 Enrollment ID: O20231002000735

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. Kensie 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
Kensie Waller, FNP Po Box 3299, Carson City, NV 89702-3299 Ph: (317) 782-1577	Kensie Waller, FNP 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 Ph: (317) 782-1577

Reviews and Comments

Nurse Practitioner Nurses in Indianapolis, IN

Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516
Tia Imhoff Mcgee, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-312-2204
Kathleen L Lampert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227 Phone: 317-497-2300
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1545 N Meridian St, Indianapolis, IN 46202 Phone: 317-923-1491
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617

Kensie Waller, FNP - Medicare Nurse Practitioner in Indianapolis, IN