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

Holly Anna Waller, APN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083440077

Holly Anna Waller, APN is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2024, 2 years ago. Practices with Impact Psychiatric Care LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
2
Licensed in
CO
In the registry since
2024
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

1600 W 24th St
Pueblo, CO 81003-1411
Phone: (719) 546-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APN.1000132-NP (CO)

Record details

NPI number1083440077
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Impact Psychiatric Care Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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