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

Kensie Waller, FNP

Individual provider Registered Nurse · NPI 1730635681

Kensie Waller, FNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Brookside Medical Home Visits LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3834 S Emerson Ave Bldg C Ste 100
Indianapolis, IN 46203
Phone: (317) 782-1577
Fax: (317) 780-5538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71006978A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28216896A (IN)

Record details

NPI number1730635681
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 1, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Brookside Medical Home Visits Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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