JARED WATERS
NPI 1023701927
Physician Assistant in Roanoke, VA

Active since May 29, 2023PECOS EnrolledAccepts Medicare Assignment
5673 AIRPORT RD, ROANOKE, VA 24012(540) 523-8080 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, May 29, 2023 (2 updates tracked since 2023).

About Jared Waters NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED WATERS (NPI 1023701927) is an individual physician assistant in Roanoke, Virginia, licensed in Virginia (0110009479) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Henrico, and is a graduate of University Of Florida College Of Medicine (2023).

NPPES Registry Identity

NPI1023701927
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJARED WATERS
Location Address5673 AIRPORT RDRoanoke, VA 24012-1119
Mailing Address3111 Grayland AveRichmond, VA 23221-3527
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2023
Enumeration DateMay 29, 2023
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1023701927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110009479
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5673 AIRPORT RD, Roanoke, VA 24012

Secondary Practice Location 1

Location 15500 Staples Mill RdHenrico, VA 23228-5423 · Phone (540) 523-8080

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jared Waters is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911354162
PECOS Enrollment IDI20231108003942
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
5673 AIRPORT RD
ROANOKE, VA 24012
Counselor (Professional)
5673 AIRPORT RD
ROANOKE, VA 24012
Counselor (Professional)
5673 AIRPORT RD
ROANOKE, VA 24012
Counselor (Mental Health)
5673 AIRPORT RD
ROANOKE, VA 24012
Counselor (Professional)
5673 AIRPORT RD
ROANOKE, VA 24012
Counselor
5673 AIRPORT RD
ROANOKE, VA 24012
Physician Assistant
5673 AIRPORT RD
ROANOKE, VA 24012
Counselor
5673 AIRPORT RD
ROANOKE, VA 24012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Waters's NPI number?

The NPI number for Jared Waters is 1023701927. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Jared Waters located?

Jared Waters practices at 5673 Airport Rd, Roanoke, VA 24012. The listed phone number is (540) 523-8080.

What is Jared Waters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jared Waters enrolled in Medicare?

Yes. Jared Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jared Waters accept?

Health plans from Providence Health Plan list Jared Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Waters was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.