KATIE WALLER
NPI 1043074396
Nurse Practitioner - Psychiatric/Mental Health in Fort Smith, AR

NPI Status: Active since February 07, 2024

Contact Information

3111 S 70TH ST
FORT SMITH, AR
ZIP 72903
Phone: (903) 749-1755

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  • Individual
  • Female
  • Years of Experience 3
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About KATIE WALLER

This page provides the complete NPI Profile along with additional information for Katie Waller, a provider established in Fort Smith, Arkansas with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1043074396 assigned on February 2024. The practitioner's primary taxonomy code is 363LP0808X with license number 227616 (AR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1043074396
Provider Name
KATIE WALLER
Gender
Female
Entity Type
Individual
Location Address
3111 S 70TH ST FORT SMITH, AR 72903
Location Phone
(903) 749-1755
Mailing Address
1014 RED OAK ST ELKINS, AR 72727
Mailing Phone
(903) 749-1755
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
02-07-2024
Last Update Date
02-07-2024
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A nurse practitioner (NP) like Katie Waller is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
227616
License State
AR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Katie Waller is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Katie Waller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9830539055

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240503002717

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72903 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $79.72
  • Minimum New Patient Price $51.36
  • Maximum New Patient Price $157.74
  • Average New Patient Copayment $19.93
  • Minimum New Patient Copayment $12.84
  • Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $91.63
  • Minimum Established Patient Price $16.16
  • Maximum Established Patient Price $128.77
  • Average Established Patient Copayment $22.9
  • Minimum Established Patient Copayment $4.04
  • Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for KATIE WALLER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043074396
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083078318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 0 + 7 + 8 + 3 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1043074396 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942275151 EWA A BEYGA M.D.
Individual
Psychiatry & Neurology (Psychiatry)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1467407171MISS JOYCE E BOND LCSW
Individual
Social Worker (Clinical)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1477591816MS. SHARON STRAWN LCSW
Individual
Social Worker (Clinical)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1407897390MR. JERRY STEARMAN LPE
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1861433815MS. LYNN C WASHINGTON LPC
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1215979679MS. GINA MIESNER LPE
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1487698767MS. MORGEN OXFORD MHPP
Individual
Counselor (Mental Health)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1508800897MS. JACKIE SCARBOROUGH LPC
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1245274315MS. KIMBERLY SUE DICKERSON LMSW
Individual
Social Worker (Clinical)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1700821659MR. JESSE DANIEL HEYDENREICH MHPP
Individual
Counselor (Mental Health)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1447295373MS. SHANNA COPELAND MHPP
Individual
Counselor (Mental Health)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1750326187MS. KAREN S INFIELD LPC
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1215973466MR. MICHAEL L MIZE LPC
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1942236047MR. GARY GREENWOOD LPC
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1598791386MR. DANNY M RICHIE MHPP
Individual
Counselor (Mental Health)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1023044120MS. CINDY CLARK LPN
Individual
Licensed Practical Nurse3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1508893660MR. JOHN SKELLY LPC
Individual
Counselor (Professional)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1770510794MS. EILEEN SCOTT MHPP
Individual
Counselor (Mental Health)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1285665638MS. JONI COGBILL SPEECH PATHOLOGIST
Individual
Speech-Language Pathologist3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650
1215952452MS. LISA HATCHER MHPP
Individual
Counselor (Mental Health)3111 S 70TH ST
FORT SMITH, AR 72903
(479) 452-6650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043074396, enumerated in the NPI registry as an "individual" on February 07, 2024

The provider is located at 3111 S 70th St Fort Smith, Ar 72903 and the phone number is (903) 749-1755

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

The provider has more than 3 years of experience.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $79.72 with an average copayment of $19.93 for new patient appointments. Established patients should expect a typical charge of $91.63 and an average copayment of 22.9. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 07, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.