Deven Waller
Physician Assistant · Albuquerque, NM
Deven Waller is a physician assistant with a practice address in Albuquerque, New Mexico, and NPI 1750165205, issued on Aug 23, 2023. Check the license with the New Mexico board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Deven Waller
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 1500 N Renaissance Blvd NE Ste C, Albuquerque, NM 87107
- Phone
- (505) 266-5565
- Enumerated
- Aug 23, 2023
- Record last updated
- Sep 3, 2025
- Medicare enrollment
- Enrolled (PECOS I20251021000634); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 847 in New Mexico → Look up another NPI →
Also registered at 1500 N Renaissance Blvd NE Ste C
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Kierian BeasleyStudent in an Organized Health Care Education/Training Program1528722550
- Hayden BirtStudent in an Organized Health Care Education/Training Program1992580138
- Ezequiel ChavezOrthopaedic Surgery Physician1073240511
Verify Deven Waller in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Mexico board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Optumcare New Mexico LLCAlbuquerque, NM
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Deven Waller among 847 physician assistant records in New Mexico
Deven Waller is one of 847 physician assistant records with a practice address in New Mexico. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 89% of them.
- NPI issued2023 · 89% of these records are older, 6% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2025 · median 2018 among the 521 with a school on file
- Record last updated2025 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
494 physician assistant records list a practice address in Albuquerque
They are 494 of the 24,162 NPPES records with a practice address in Albuquerque, and 847 physician assistant records in New Mexico.
All 847 in New Mexico → Every provider in Albuquerque → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Aneeka Akhtar, PA-CAlbuquerque, NM 871071477183242
- Keith Basham, PHYSICIAN ASSISTANTAlbuquerque, NM 871071124329339
- Heather Dountas, PACAlbuquerque, NM 871071407889074
- Linda Garcia, PA-CAlbuquerque, NM 871071033770169
- Lisa Grimaldi, PA-CAlbuquerque, NM 871071790051274
- Samiul Islam, PA-CAlbuquerque, NM 871071922506294
- Jessica Johnston, PA-CAlbuquerque, NM 871071619357225
- Stephen Keller, PA-CAlbuquerque, NM 871071770596777
Common questions
What is Deven Waller's NPI number?
Deven Waller's National Provider Identifier (NPI) is 1750165205, issued on Aug 23, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Deven Waller located?
The NPPES record lists a practice address at 1500 N Renaissance Blvd NE Ste C, Albuquerque, NM, 87107. Phone: (505) 266-5565. Providers update this record themselves, so call before visiting.
How can I verify Deven Waller's license?
Search the New Mexico board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.