Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Angelina Kelly Viscardi Waller, PA-C

Individual provider Surgical Physician Assistant · NPI 1417061821

Mrs. Angelina Kelly Viscardi Waller, PA-C is a Physician Assistant in Parker, Colorado. Qualified in 2005, 21 years ago. Practices with Orthopedic Centers of Colorado LLC, a 328-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
21
Licensed in
CO
In the registry since
2006
Specialties on file
2
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

11960 Lioness Way Ste 260
Parker, CO 80134
Phone: (303) 344-9090
Fax: (720) 895-1121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8101 E Lowry Blvd Ste 230, Denver, CO 80230-7195 — (303) 344-9090

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2178 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2178 (CO)

Record details

NPI number1417061821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJune 6, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Orthopedic Centers Of Colorado Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Parker