Adam Waller
NP | Nurse Practitioner | 5+ years Exp
502 W Saint Louis St Ste 4, West Frankfort
Illinois, 62896-1968
618-937-3400
Adam Waller is a West Frankfort, Illinois based nurse practitioner with 5 years of experience in . He completed his graduation in 2020. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Adam Waller is 209021745 in Illinois. His current practice location is 502 W Saint Louis St Ste 4, West Frankfort. Patients can reach him at 618-937-3400 or can fax him at 618-997-9324. Adam Waller is NP and his NPI number (Unique professional ID assigned by NPPES) is 1508476615.
Adam Waller has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Adam Waller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Adam Waller |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | NP |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 502 W Saint Louis St Ste 4, West Frankfort,
Illinois, 62896-1968 |
| Phone: | 618-937-3400 |
| Fax: | 618-997-9324 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9931527512 |
| Enrollment ID: | I20200914002215 |
| NPI Number: | 1508476615 |
| NPI Enumeration Date: | 04 Aug, 2020 |
| NPI Last Update On: | 23 May, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Adam Waller are as mentioned below.
| License Number | Specialization | State | Status | |
| 209021745 | | Illinois | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (140011) | Herrin, IL | Acute Care Hospital |
| (141321) | Benton, IL | Critical Access Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Adam Waller is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southern Illinois Medical Services Nfp (3678677390) | 352 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Adam Waller
Po Box 3988,
Carbondale, Illinois |
| Zip: | 62902-3988 |
| Phone Number: | 618-937-3400 |
| Fax Number: | 618-997-9324 |
Patients can reach Adam Waller at
502 W Saint Louis St Ste 4, West Frankfort, Illinois or can
call to book an appointment on 618-937-3400.
Comments/ Reviews:
Patients can read all the reviews posted for Adam Waller below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Adam Waller. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.