Richard Keith Waller , APRN
Nurse Practitioner • Edgewood, KY
Professional Overview & Biography Verified Profile Summary
Richard Waller, APRN is a certified Nurse Practitioner practicing in Edgewood, KY. With approximately 3 years of clinical experience since completing medical education in 2023, Richard Waller delivers high-quality medical care to the local community at 1 MEDICAL VILLAGE DRIVE.
Richard Waller maintains professional affiliations with Summit Medical Group Inc, Kidney And Hypertension Center Inc and accepts Medicare assignment.
Practice Location & Contact Primary Location
1 Medical Village Drive
Edgewood, KY 410173403
Medicare Profile & Education
Other
2023
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Edgewood, KY
Practicing in Edgewood, KY (1865 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2025-12-15NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Definition to come...
Hospital & Practice Group Affiliations
Summit Medical Group Inc
1 Medical Village Dr, Edgewood, KY 410173403
Phone: 8593015901
Kidney And Hypertension Center Inc
11135 Montgomery Rd, Cincinnati, OH 452492338
Phone: 5137917572
Secondary Practice Locations
11135 Montgomery Rd
Cincinnati, OH 452492338
Phone: 5137917572
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Advanced Practice Registered Nurse
Nurse Practitioner
Nurse Practitioner
Doctor of Nursing Practice
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Advanced Practice Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 410173403 (Tel: 8597572927)
Registered at 1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 410173403 (Tel: 8597572927)
NPI status registered as active in NPPES database
Registered at 11135 MONTGOMERY RD, CINCINNATI, OH 452492338 (Tel: 5137917572)
Registered at 2123 AUBURN AVE STE 404, CINCINNATI, OH 452192906 (Tel: 5132415630)
Recorded as RICHARD WALLER, APRN
Nurse Practitioner (License #0036149 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1 Medical Village Drive
Edgewood, KY 410173403
Phone: 8597572927
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