NPPES file of Aug 9, 2026

Richard Keith Waller, APRN

Nurse Practitioner · Edgewood, KY

Richard Keith Waller, APRN is a nurse practitioner with a practice address in Edgewood, Kentucky, and NPI 1215770516, issued on Jun 14, 2024. Check the license (Kentucky 4047540, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1215770516
Name
Richard Keith Waller
Credential
APRN
Primary taxonomy
Nurse Practitioner 363L00000X
License numbers
4047540 KY
0036149 OH
Self-reported in NPPES; status is on the state search
Practice location
1 Medical Village Drive, Edgewood, KY 41017
Phone
(859) 757-2927
Enumerated
Jun 14, 2024
Record last updated
Dec 15, 2025
Medicare enrollment
Enrolled (PECOS I20251202003196); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest nurse practitioner records → All 1,830 in Kentucky → Look up another NPI →

Also registered at 1 Medical Village Drive

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Deema AlkapalanAnatomic Pathology & Clinical Pathology Physician1992051395
  2. Deborah Bliss, ACNPAcute Care Nurse Practitioner1013059559
  3. Jennifer Bowling, APRNNurse Practitioner1629424619
  4. Ricky Eversole, APRNNurse Practitioner1831802438
  5. Brooklyn Fette, APRNNurse Practitioner1205692803
  6. Kimberly FittererFamily Nurse Practitioner1659044956

Verify Richard Keith Waller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
    Search for license 4047540    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 2 group practices

  1. Kidney And Hypertension Center IncCincinnati, OH
  2. Summit Medical Group IncEdgewood, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Richard Keith Waller among 1,830 nurse practitioner records in Kentucky

Richard Keith Waller, APRN is one of 1,830 nurse practitioner records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 93% of them.

  • NPI issued2024 · 93% of these records are older, 4% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2023 · median 2015 among the 1,220 with a school on file
  • Record last updated2025 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

172 nurse practitioner records list a practice address in Edgewood

They are 172 of the 1,159 NPPES records with a practice address in Edgewood, and 1,830 nurse practitioner records in Kentucky.

All 1,830 in Kentucky → Every provider in Edgewood → Nurse Practitioner nationwide →

The 8 nurse practitioner records with the nearest ZIP codes

  1. Perry Bohanon, MSN, APRN, BCEdgewood, KY 410171467437178
  2. Maureen Dwyer, DNSCEdgewood, KY 410171114927704
  3. Theresa Furnish, ARNPCrestview Hills, KY 410171518966936
  4. Lisa Gergen, APRNEdgewood, KY 410171497748263
  5. Shawn Jager, ARNPCrestview Hills, KY 410171992700108
  6. Marla Johnson, APRNEdgewood, KY 410171104821982
  7. Mary Kaiser, ARNPEdgewood, KY 410171821081571
  8. Jennifer Malmstrom, ARNPCrestview Hills, KY 410171275532624

Common questions

What is Richard Keith Waller, APRN's NPI number?

Richard Keith Waller, APRN's National Provider Identifier (NPI) is 1215770516, issued on Jun 14, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Richard Keith Waller, APRN located?

The NPPES record lists a practice address at 1 Medical Village Drive, Edgewood, KY, 41017. Phone: (859) 757-2927. Providers update this record themselves, so call before visiting.

How can I verify Richard Keith Waller, APRN's license?

NPPES lists Kentucky license number 4047540, as entered by the provider. Search the Kentucky 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.