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MR. FREDERICK DONALD WATTERS APRN-CNP
NPI 1053753921
Nurse Practitioner in Portland, ME

Active since July 22, 2013PECOS Enrolled
66 SHERMAN ST APT 3, PORTLAND, ME 04101(207) 669-5910 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2018, Nov 21, 2017, Nov 21, 2016 (3 updates tracked since 2016).

About Mr. Frederick Donald Watters Aprn-cnp NPPES

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

MR. FREDERICK DONALD WATTERS APRN-CNP (NPI 1053753921) is an individual nurse practitioner in Portland, Maine, licensed in Maine (CNP131037) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053753921
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. FREDERICK DONALD WATTERSCredential: APRN-CNP
Location Address66 SHERMAN ST APT 3Portland, ME 04101
Mailing Address66 Sherman St Apt 3Portland, ME 04101-2206 · (207) 669-5910
Phone(207) 669-5910
Sole ProprietorYes
Enumeration DateJuly 22, 2013
Last NPPES UpdateJuly 13, 20183 updates tracked since enumeration
✔ NPI 1053753921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ME · CNP131037
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
66 SHERMAN ST APT 3, Portland, ME 04101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Frederick Donald Watters Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Frederick Watters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vna Home Health & Hospice
3.1 mi
Home Health
225 GORHAM RD STE 200
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • 9 clinicians in this Medicare group
NPI 1245236306 (800) 757-3326
Eastern Maine Medical Center
110 mi
General Acute Care Hospital
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 788 clinicians in this Medicare group
NPI 1790789147 (207) 973-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Frederick Watters's NPI number?

The NPI number for Frederick Watters is 1053753921. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Frederick Watters located?

Frederick Watters practices at 66 Sherman St Apt 3, Portland, ME 04101. The listed phone number is (207) 669-5910.

What is Frederick Watters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Frederick Watters enrolled in Medicare?

Yes. Frederick Watters is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Frederick Watters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Watters reassigns Medicare benefits to 2 organizations: Vna Home Health & Hospice (South Portland, ME) and Eastern Maine Medical Center (Bangor, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frederick Watters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Frederick Watters was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.