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

Mrs. Mary Melanie Waller, MD

Individual provider Urology Physician · NPI 1225024615

Mrs. Mary Melanie Waller, MD is an Urology in Olney, Illinois. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1982, 44 years ago. Practices with Richland Memorial Hospital Inc, a 104-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 N East St
Olney, IL 62450-2432
Phone: (618) 395-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 036119328 (IL)

Record details

NPI number1225024615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESOctober 5, 2009

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1982 (44 years in practice)
Group practice Richland Memorial Hospital Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare