Jodi Waller, FNP-C
NPI 1811303670ActiveIndividual· Nurse Practitioner, Family· McComb, MS
Nurse Practitioner, Family (FNP-C) with Statcare PLLC, practicing in McComb, Mississippi. Their prescriptions cost Medicare Part D more than their services did: $568,928 for 9,156 claims, against $90,595 paid for services in 2024. Abbvie Inc. was the largest of 4 companies reporting payments in 2025, $88.79 in all, mostly food and beverage. Lists King's Daughters Medical Center-Brookhaven and 1 other hospital as hospital affiliations.
Overview
| NPI | 1811303670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Jul 1, 2014 |
| Last updated in NPPES | Jul 1, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R883312 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 345 |
|---|---|
| Services billed | 3,588 across 63 procedure codes |
| Paid by Medicare | $90,595 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,156 · 17,463 30-day fills |
|---|---|
| Patients | 444 |
| Total drug cost | $568,928 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Statcare PLLCMcComb, MS · 9 clinicians
Hospital affiliations
- King's Daughters Medical Center-BrookhavenBrookhaven, MS
- Southwest Ms Regional Medical CenterMcComb, MS
Other facilities
- Deaconess Homecare-Region I IHome health agency · Brookhaven, MS
- St Luke Home Health ServicesHome health agency · McComb, MS
Industry payments (Open Payments)
- 2025$88.79 · 6 payments from 4 companies
- 2024$130.08 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $43.98 | 3 |
| Takeda Pharmaceuticals U.S.A., Inc. | $16.58 | 1 |
| Phathom Pharmaceuticals, Inc. | $14.13 | 1 |
| Axsome Therapeutics, Inc. | $14.10 | 1 |
What the 2025 payments were for
- Food and Beverage$88.79 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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