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

Kelsey Nicole Waller, APRN-CNP

Individual provider Acute Care Nurse Practitioner · NPI 1619546033

Kelsey Nicole Waller, APRN-CNP is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2021, 5 years ago. Practices with Ahs Oklahoma Heart LLC, a 132-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone: (918) 579-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 205116 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0116890 (OK)

Record details

NPI number1619546033
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ahs Oklahoma Heart Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tulsa