Richard Waller, APRN
NPI 1215770516 · Nurse Practitioner · Edgewood, KY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Waller, APRN is a Nurse Practitioner provider in Edgewood, KY (NPI 1215770516).
Provider details
- NPI number
- 1215770516
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 0036149 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 11135 Montgomery RdCincinnati, OH 45249-2338Phone: (513) 791-7572Fax: (513) 791-8240
Registry dates
- Enumerated
- 2024-06-14
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Richard Waller's NPI number?
- Richard Waller's National Provider Identifier (NPI) is 1215770516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Waller's specialty?
- Richard Waller is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Richard Waller located?
- Richard Waller's practice location on file with NPPES is 1 Medical Village Drive, Edgewood, KY 41017-3403.
- What is Richard Waller's phone number?
- The practice phone number listed in the NPPES registry for Richard Waller is (859) 757-2927.
- Does Richard Waller accept Medicare?
- Richard Waller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Waller's NPI active?
- Yes — Richard Waller's NPI (1215770516) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.