Kimberly L. Waller, PA-C
Physician Assistant · Grants Pass, OR
Kimberly L. Waller, PA-C is a physician assistant with a practice address in Grants Pass, Oregon, and NPI 1093782914, issued on Mar 1, 2006. Check the license (Oregon PA01142, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kimberly L. Waller
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- PA01142 OR
PA842 NV
Self-reported in NPPES; status is on the state search - Practice location
- 1701 NW Hawthorne Ave, Grants Pass, OR 97526
- Phone
- (541) 471-3455
- Enumerated
- Mar 1, 2006
- Record last updated
- Oct 28, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicaid IDs
- 100503581 NV
100503226 NV - Medicare enrollment
- Enrolled (PECOS I20061101000505); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,094 in Oregon → Look up another NPI →
Also registered at 1701 NW Hawthorne Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Laura Anderson, DNP APRN-NPNurse Practitioner1093110306
- Linford Beachy, BA, MDFamily Medicine Physician1942289277
- Andre Bezerra, FNPNurse Practitioner1093528655
- Jodi Bostwick, PMHNPPsychiatric/Mental Health Nurse Practitioner1649821216
- Tina BrannonCommunity Health Worker1336952324
- Leanne Burton, RPHPharmacist1811281082
Verify Kimberly L. Waller in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license PA01142Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.8 times the Medicare Part D claims of the average physician assistant in 2024
2,341 Medicare Part D claims for 249 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 72% of claims.
Most prescribed
- Trulicity172 claims
- Jardiance152 claims
- Levothyroxine Sodium148 claims
- Toujeo Max Solostar126 claims
- Semglee (Yfgn) Pen118 claims
- Metformin Hcl105 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Siskiyou Community Health Center IncGrants Pass, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kimberly L. Waller among 2,094 physician assistant records in Oregon
Kimberly L. Waller, PA-C is one of 2,094 physician assistant records with a practice address in Oregon. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 84% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated1997 · median 2017 among the 1,552 with a school on file
- Record last updated2019 · 37% 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 Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
42 physician assistant records list a practice address in Grants Pass
They are 42 of the 2,127 NPPES records with a practice address in Grants Pass, and 2,094 physician assistant records in Oregon.
All 2,094 in Oregon → Every provider in Grants Pass → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jaclyn Bondhus, PA-CGrants Pass, OR 975261548763048
- Jennifer Cramer, PA-CGrants Pass, OR 975261073369526
- Karsyn Kimbrough, PAGrants Pass, OR 975261578369948
- Daniel Klepacz, PA-CGrants Pass, OR 975261164781555
- Brooke LogueGrants Pass, OR 975261598533366
- Griffin Mansell, PA-CGrants Pass, OR 975261265903496
- Ragna Rostad-Ruffner, P.A.Grants Pass, OR 975261124214382
- Samantha Taylor, PAGrants Pass, OR 975261710617550
Common questions
What is Kimberly L. Waller, PA-C's NPI number?
Kimberly L. Waller, PA-C's National Provider Identifier (NPI) is 1093782914, issued on Mar 1, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly L. Waller, PA-C located?
The NPPES record lists a practice address at 1701 NW Hawthorne Ave, Grants Pass, OR, 97526. Phone: (541) 471-3455. Providers update this record themselves, so call before visiting.
How can I verify Kimberly L. Waller, PA-C's license?
NPPES lists Oregon license number PA01142, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
How much does Kimberly L. Waller, PA-C prescribe under Medicare Part D?
In 2024, Kimberly L. Waller, PA-C had 2,341 Medicare Part D claims for 249 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions 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.