Mrs Kimberly L Waller, PA-C - Medicare Physician Assistant in Grants Pass, OR

Mrs Kimberly L Waller, PA-C is a medicare enrolled "Physician Assistant" in Grants Pass, Oregon. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Siskiyou Community Health Center Inc and her current practice location is 1701 Nw Hawthorne Ave, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 471-3455.

Mrs Kimberly L Waller is licensed to practice in Oregon (license number PA01142) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093782914.

Contact Information

Mrs Kimberly L Waller, PA-C
1701 Nw Hawthorne Ave,
Grants Pass, OR 97526-1051
(541) 471-3455
Not Available



Provider's Profile

Full NameMrs Kimberly L Waller
GenderFemale
SpecialityPhysician Assistant
Experience27 Years
Location1701 Nw Hawthorne Ave, Grants Pass, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kimberly L Waller graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1093782914
  • Provider Enumeration Date: 03/01/2006
  • Last Update Date: 10/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0749175255
  • Enrollment ID: I20061101000505

Medical Identifiers

Medical identifiers for Mrs Kimberly L Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093782914NPI-NPPES
100503581MedicaidNV
100503226MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA842 (Nevada)Secondary
363A00000XPhysician Assistant PA01142 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Asante Three Rivers Medical CenterGrants pass, ORHospital
Sutter Coast HospitalCrescent city, CAHospital
Curry General HospitalGold beach, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Siskiyou Community Health Center Inc630574728828

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly L Waller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kimberly L Waller, PA-C
1701 Nw Hawthorne Ave,
Grants Pass, OR 97526-1051

Ph: (541) 471-3455
Mrs Kimberly L Waller, PA-C
1701 Nw Hawthorne Ave,
Grants Pass, OR 97526-1051

Ph: (541) 471-3455

News Archive

Phase I clinical study of Selexys SelG1 for sickle cell disease completed

Selexys Pharmaceuticals announced today that it has completed a Phase I clinical study of its lead compound SelG1, an antibody specific for the pro-inflammatory cell adhesion molecule P-selectin.

Practicing safer sex: New condom technology to keep partners "in the moment"

Each year there are an estimated 19 million new sexually transmitted infections (STIs) diagnosed in the United States, according to the Centers for Disease Control and Prevention (CDC). Today, more than 68 million Americans live with STIs despite the fact that a condom could prevent them. A recent Kinsey Report points to disruption of "the mood" as a main barrier to condom use.

D.C. appeals court to rehear Obamacare subsidy challenge

In what could be good news for the Obama administration, the full U.S. Court of Appeals for the D.C. Circuit has agreed to rehear a lawsuit that argued the federal government lacks the authority to provide insurance subsidies in states that do not run their own exchanges. The order to hear the case technically cancels the three-judge ruling from July that would have nullified subsidies given to residents in 36 states.

Research findings offer new insights into pathophysiology of PTSD

Researchers at the Veterans Affairs San Diego Healthcare System and University of California, San Diego School of Medicine, with colleagues in New York and the United Kingdom, have identified genetic markers, derived from blood samples that are linked to post-traumatic stress disorder (PTSD). The markers are associated with gene networks that regulate innate immune function and interferon signaling.

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› Verified 9 days ago


Physician Assistant Nurses in Grants Pass, OR

Jordan Personius, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527
Phone: 541-789-4281    
Kailey R Kelly, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 Sw Ramsey Avenue, Grants Pass, OR 97527
Phone: 541-472-7000    
Mrs. Esther M Carson, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1309 Ne 6th St, Grants Pass, OR 97526
Phone: 541-479-3367    Fax: 541-479-0215
Nolan Bastendorff, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 537 Union Ave Fl 2, Grants Pass, OR 97527
Phone: 541-507-2110    
Brian James Allen, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527
Phone: 541-472-0603    Fax: 541-472-0609
Mr. Benjamin Moss, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527
Phone: 541-476-6644    

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