MRS. CHRISTAL ALANTHA WALLER (APN) – Family Nurse Practitioner, NPI 1194974188
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. CHRISTAL ALANTHA WALLER (APN)
125 Baptist Way Ste 4C
Pensacola, FL 325032274
Phone: (448) 227-6450
Fax: (448) 227-9770
Type: Location
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 336025925
Phone: (727) 322-3439
Type: Mailing
2000, Opelousas Street, Lake Charles, Calcasieu Parish, Louisiana, 70601, United States
LAKE CHARLES, LA 706012641
Phone: (501) 603-9600
Fax: (337) 310-1161
Type: Location
1330, West McNeese Street, Lake Charles, Calcasieu Parish, Louisiana, 70605, United States
APT. 10107
LAKE CHARLES, LA 706054291
Phone: (501) 603-9600
Type: Mailing
6720 GRELOT RD STE D
MOBILE, AL 366952698
Phone: (251) 444-1999
Fax: (251) 444-1998
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231102002344 | I | Nurse Practitioner | FL | TBD |
| I20250227003414 | I | Nurse Practitioner | TN | TBD |
| I20250227003473 | I | Nurse Practitioner | AL | TBD |
| I20250228003379 | I | Nurse Practitioner | NM | TBD |
| I20250407001026 | I | Nurse Practitioner | WV | TBD |
| I20260220003783 | I | Nurse Practitioner | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | DE | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | NC | |
| Physician Assistant | PA |
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