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

Miss. Leah Waller, PA-C

Individual provider Physician Assistant · NPI 1740673250

Miss. Leah Waller, PA-C is a Physician Assistant in Fredericksburg, Virginia. Qualified in 2014, 12 years ago. Practices with Skin PC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1985 Jefferson Davis Hwy
Fredericksburg, VA 22401-6233
Phone: (540) 373-6647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740673250
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2015
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Skin Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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