Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750165205 Individual Practitioner Female Practitioner

Deven Waller

Physician Assistant • Albuquerque, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Deven Waller is a certified Physician Assistant practicing in Albuquerque, NM. With approximately 1 years of clinical experience since completing medical education in 2025, Deven Waller delivers high-quality medical care to the local community at 1500 N RENAISSANCE BLVD NE STE C.

Deven Waller is affiliated with Optumcare New Mexico Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1500 N Renaissance Blvd Ne Ste C

Albuquerque, NM 871077002

Telephone 5052665565

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albuquerque, NM

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -8.6 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
499 Specialists

Practicing in Albuquerque, NM (865 Statewide)

Telehealth Adoption Rate
14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waller (1 Years) 1 Yrs
Albuquerque Specialty Average (9.6 Years) 9.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Optumcare New Mexico Llc

1721 Rio Rancho Dr Nw, Albuquerque, NM 871055904

Phone: 5058968600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Christian Salazar

Physician Assistant

NPI 1013643683
Millie Zachariah

Physician Assistant

NPI 1013790336
Camila Sandoval

Physician Assistant

NPI 1043808140
NPI 1063009991

Physician Assistant (Certified)

Ezequiel Chavez

Orthopaedic Surgery

NPI 1073240511
Erhiga Ekhama

Student in an Organized Health Care Education/Training Program

NPI 1114653680

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Physician Assistant

NPI Profile Active August 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2023

Registered at 1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 871077002 (Tel: 5052665565)

📍
Updated Business Mailing Address August 23, 2023

Registered at 1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 871077002 (Tel: 5052665565)

👤
Provider Name / Credentials Updated August 23, 2023

Recorded as DEVEN WALLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 23, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750165205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2023
Last Update: September 03, 2025
Sole Proprietor: No

Mailing Address

1500 N Renaissance Blvd Ne Ste C

Albuquerque, NM 871077002

Phone: 5052665565

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.