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

Keiona L Waller, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1366215071

Keiona L Waller, APRN, FNP-BC is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2023, 3 years ago. Practices with Shadeland Anesthesia and Pain Associates Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

8805 N Meridian St
Indianapolis, IN 46260-2760
Phone: (317) 706-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 71014575A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71014575A (IN)

Record details

NPI number1366215071
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorNo
NPI enumeratedNovember 3, 2023
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Shadeland Anesthesia And Pain Associates Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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