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

MS. Fay Marshelle Waller, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1750270500

MS. Fay Marshelle Waller, FNP-BC is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5425 Rosslyn Ave
Indianapolis, IN 46220-3323
Phone: (615) 274-9767
Fax: (833) 450-4801
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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 71016908A (IN)

Record details

NPI number1750270500
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJune 28, 2025
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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