Nikki Waddell, MD
NPI 1265456388 · Internal Medicine Physician · Alexandria, VA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nikki Waddell, MD is a Internal Medicine Physician provider in Alexandria, VA (NPI 1265456388).
Provider details
- NPI number
- 1265456388
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101239628 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
866 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 255 | $140 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 238 | $18 |
| Administration of a Standardized, Evidence-Based Social Determinants of Health Risk Assessment Tool, 5-15 MinutesG0136 | 56 | $21 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 49 | $21 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 47 | $145 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 77 | 26 |
| Levothyroxine Sodium | 72 | 16 |
| Atorvastatin Calcium | 68 | 22 |
| Hydrochlorothiazide | 67 | 21 |
| Amlodipine Besylate | 56 | 18 |
| Alendronate Sodium | 52 | 17 |
| Losartan Potassium | 48 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2012-07-24
Frequently asked questions
- What is Nikki Waddell's NPI number?
- Nikki Waddell's National Provider Identifier (NPI) is 1265456388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nikki Waddell's specialty?
- Nikki Waddell is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nikki Waddell located?
- Nikki Waddell's practice location on file with NPPES is 5901 Kingstowne Village Pkwy, Alexandria, VA 22315-5880.
- What is Nikki Waddell's phone number?
- The practice phone number listed in the NPPES registry for Nikki Waddell is (571) 384-6304.
- Does Nikki Waddell accept Medicare?
- Nikki Waddell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nikki Waddell's NPI active?
- Yes — Nikki Waddell's NPI (1265456388) is active in the NPPES registry as of the last update on 2012-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.