Holly Waller, APN
NPI 1083440077 · Psychiatric/Mental Health Nurse Practitioner · Pueblo, CO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holly Waller, APN is a Psychiatric/Mental Health Nurse Practitioner provider in Pueblo, CO (NPI 1083440077).
Provider details
- NPI number
- 1083440077
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- APN.1000132-NP (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Holly Waller's NPI number?
- Holly Waller's National Provider Identifier (NPI) is 1083440077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Holly Waller's specialty?
- Holly Waller is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Holly Waller located?
- Holly Waller's practice location on file with NPPES is 1600 W 24th St, Pueblo, CO 81003-1411.
- What is Holly Waller's phone number?
- The practice phone number listed in the NPPES registry for Holly Waller is (719) 546-4000.
- Does Holly Waller accept Medicare?
- Holly Waller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Holly Waller's NPI active?
- Yes — Holly Waller's NPI (1083440077) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.