Active NPI
Nathan Waller
- Physician Assistant
- Billings, MT
National Provider Identifier
1255243085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1247861
- Practice address
- 1511 Poly Dr
Billings, MT 59102-1739 - Phone
- (406) 657-1190
- NPI assigned
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1247861 | WI | Primary |
Addresses
Primary practice location
1511 Poly Dr
Billings, MT 59102-1739
Mailing address
1012 Hillside Cir
Verona, WI 53593-8375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1255243085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 HILLSIDE CIR",
"city": "VERONA",
"state": "WI",
"postal_code": "535938375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 POLY DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591021739",
"telephone_number": "406-657-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "NATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1247861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
- Madison Alane Walker, OTD, OTR/L
- Melanie Ann Walker, NP-C
- Gordon Steven Wallace, L.C.P.C. / L.A.C.
- Paula J Wallace, MSW,LAC
- Roger Lewis Wallace, D.O.
- Sheila J Waller, PHYSICAL THERAPIST
- Sarah Lucille Wallick, D.O.
- Walman Optical Company
- Walmart Inc. (Walmart Pharmacy 10-2923)
- Walmart Inc. (Walmart Pharmacy 10-1956)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.