Spencer Waller, FNP
NPI 1033629241ActiveIndividual· Nurse Practitioner· Pueblo, CO
Nurse Practitioner (FNP) with Southern Colorado Emergency Medical Associates, practicing in Pueblo, Colorado. Their prescriptions cost Medicare Part D more than their services did: $1,108 for 106 claims, against $646.31 paid for services in 2024. Lists Parkview Medical Center, Inc as a hospital affiliation.
Overview
| NPI | 1033629241 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Oct 3, 2017 |
| Last updated in NPPES | Mar 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | ANP.0993430-NP | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 15 across 6 procedure codes |
| Paid by Medicare | $646.31 |
Part D prescriptions in 2024
| Prescriptions (claims) | 106 · 112 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $1,108 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southern Colorado Emergency Medical AssociatesPueblo, CO · 27 clinicians
Hospital affiliation
- Parkview Medical Center, IncPueblo, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 54 nurse practitioners in Pueblo · All nurse practitioners in Colorado