Erin Michelle Waller, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP202217 Issued in LA

Practice address

1200 S Farmerville St
Ruston, LA 71270-5941

Phone

(318) 255-3690

Fax

(318) 251-6116

NPI assigned

Jan 4, 2019

Last updated

Jan 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CLHG-Ruston LLCGroup PAC ID 7315361425, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086
• Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.waller.1@26990.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CLHG-Ruston LLC

  dba Allegiance Medical Clinic

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1154012185
  Medicare reassignment Care Compare group NPD
• CLHG-Ruston LLC

  dba Ruston Family Care Center

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1942181276
  NPD
• CLHG-Ruston LLC

  dba Allegiance Medical Clinic of Ruston

  • Rural Health Clinic/Center
  • Ruston, LA
  • NPI 1346904885
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Ruston LLC

  dba Northern Louisiana Medical Center

  • General Acute Care Hospital
  • Ruston, LA
  • NPI 1962024026
  Care Compare affiliation
• Hsa Glenwood, LLC

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1548083421
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1578036349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705941",
            "telephone_number": "318-255-3690",
            "fax_number": "318-251-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705941",
            "telephone_number": "318-255-3690",
            "fax_number": "318-251-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP202217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid #18334)
• Walgreen Co. (Walgreens #21544)
• Amanda Dawn Walker, MHS
• Misti Harrington Walker, RD
• Rhonda Marie Walker, NP
• Ashley Bennett Walpole, FNP-C
• Waltz & Brazzel Pharmacy Inc (Waltz Pharmacy)
• Phil H Waltz Jr., RPH
• John L Ward, DDS
• Wynner Ward

• Family Nurse Practitioner in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.