Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Anne Waller, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1295271690

Mrs. Jennifer Anne Waller, APRN-CNP is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2016, 10 years ago. Practices with Sanford Medical Center, a 842-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
10
Licensed in
SD
In the registry since
2017
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Practice location Address checks out

1508 W 22nd St Ste 101
Sioux Falls, SD 57105-1508
Phone: (605) 328-3840
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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 CP001179 (SD)

Record details

NPI number1295271690
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017

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 Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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