Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allie Rae Watson Waltz

Individual provider Physician Assistant · NPI 1679090971

Allie Rae Watson Waltz is a Physician Assistant in Carmel, Indiana. Qualified in 2017, 9 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

12188A N Meridian St Ste 375
Carmel, IN 46032-4433
Phone: (317) 926-1056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10002308A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679090971
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESJune 19, 2025
Certification dateJune 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Carmel