MRS. AMY ASTEL WALLER (APRN-BC) – Adult Health Nurse Practitioner, NPI 1255358875

MRS. AMY ASTEL WALLER (APRN-BC) is a healthcare provider. based in Lees summit, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. 53-45679-011 (KS). The NPI Number for MRS. AMY ASTEL WALLER (APRN-BC) is 1255358875

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY ASTEL WALLER (APRN-BC)
NPI
1255358875
Phone
(816) 554-3838
Address
20 NE SAINT LUKES BLVD
Enumeration Date
17 July 2006
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164784887
Graduation Year
1999 (27 years ago)
PAC ID
4183657281
Group Practice PAC ID
9739494832
Professional Enrollment ID
I20051026001101
Address ID
MO640556739IN3800XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MRS. AMY ASTEL WALLER (APRN-BC)

  • Northeast Saint Luke's Boulevard, Lee's Summit, Jackson County, Missouri, 64065, United States

    SUITE #330

    LEES SUMMIT, MO 64086

    Phone: (816) 554-3838

    Fax: (816) 554-1634

    Type: Location

  • 1110 Columbine Dr

    Holton, KS 664368824

    Phone: (785) 364-2116

    Type: Location

  • 3601 NE RALPH POWELL RD STE A

    LEES SUMMIT, MO 640642316

    Phone: (816) 836-2200

    Fax: (816) 836-2244

    Type: Mailing

  • 20 NE SAINT LUKES BLVD STE 330

    LEES SUMMIT, MO 640866001

    Phone: (816) 554-3838

    Fax: (816) 554-1634

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 181 Open Payments records for all available years, with a total value of $3,389.

Total Amount is formed as General ($3,389) + Research ($0) + Ownership ($0) = $3,389.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($864).

Total Amount

$3,389

General + Research + Ownership

Payments

181

Total payment records

General Amount

$3,389

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050917000430INurse PractitionerKSTBD
I20051026001101INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes151140$0
99213Established patient office or other outpatient visit, 20-29 minutes121108$0
99204New patient office or other outpatient visit, 45-59 minutes6363$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 64086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739494832View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMO
Gastroenterology, Internal MedicineMO
-KS
Nurse PractitionerMO
Gastroenterology, Internal MedicineMO
Certified Registered Nurse Anesthetist (Crna)MO
Internal Medicine, GastroenterologyMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

Does MRS. AMY ASTEL WALLER (APRN-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. AMY ASTEL WALLER (APRN-BC) uses 1255358875.
Can I rely on MRS. AMY ASTEL WALLER (APRN-BC) being an active provider?
As of the registry snapshot, MRS. AMY ASTEL WALLER (APRN-BC) is marked active.
What taxonomy line describes MRS. AMY ASTEL WALLER (APRN-BC)?
For research purposes, treat MRS. AMY ASTEL WALLER (APRN-BC) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. AMY ASTEL WALLER (APRN-BC) serve?
MRS. AMY ASTEL WALLER (APRN-BC)'s listing highlights Lees Summit, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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