Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MARK ANDREW WATERMAN CRNA
NPI 1144553132
Nurse Anesthetist, Certified Registered in Saint Paul, MN

Active since September 09, 2009PECOS EnrolledAccepts Medicare Assignment
155 RADIO DR, SAINT PAUL, MN 55125(952) 831-8742(952) 831-1626 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Mark Andrew Waterman Crna NPPES

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

MR. MARK ANDREW WATERMAN CRNA (NPI 1144553132) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Minnesota (3295) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1144553132
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. MARK ANDREW WATERMANCredential: CRNA
Location Address155 RADIO DRSaint Paul, MN 55125-2619
Mailing Address8170 33rd Ave S, Mailstop 21110qBloomington, MN 55425-4516 · (952) 883-6000
Fax(952) 831-1626
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 9, 2009
Last NPPES UpdateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
✔ NPI 1144553132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MN · 3295✔ Licensed in WI · 7366-33✔ Licensed in OK · 96660
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 166438-30 (WI), 1668700 (MN)
155 RADIO DR, Saint Paul, MN 55125

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Andrew Waterman Crna 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 ID8820135254
PECOS Enrollment IDI20091016000367, I20161118000938, I20260413002628
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

11

Medicare enrollment records show Mark Waterman reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
640 JACKSON ST
Saint Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • 119 clinicians in this Medicare group
Critical Access
405 STAGELINE RD
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1255532875 (Wisconsin)
  • 180 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8100 NORTHLAND DRIVE
Minneapolis, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 50 clinicians in this Medicare group
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
Critical Access
2600 65TH AVE
Osceola, WI 54020
  • Reassigned Medicare billing, Wisconsin enrollment
  • 170 clinicians in this Medicare group
Critical Access
1100 BERGSLIEN ST
Baldwin, WI 54002
  • Reassigned Medicare billing, Wisconsin enrollment
  • 111 clinicians in this Medicare group
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 clinicians in this Medicare group
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
Ambulatory Surgical
1470 RIVERS EDGE TRL STE B
Altoona, WI 54720
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952004863 (Wisconsin)
  • 9 clinicians in this Medicare group

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 5

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
20 services20 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
19 services19 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
12 services12 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients
Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance 64488
This procedure involves injecting a local anesthetic into the abdominal wall to manage pain. It's carried out on both sides of the abdomen using imaging guidance for precision. This helps numb the area, providing relief from discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370022
Location1200 East Pecan StAltus, OK 73521 · Jackson County
Emergency services Birthing friendly

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521347
Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Physical Therapist
155 RADIO DR
WOODBURY, MN 55125
Anesthesiology (Pain Medicine)
155 RADIO DR
WOODBURY, MN 55125
Specialist/Technologist (Athletic Trainer)
155 RADIO DR
WOODBURY, MN 55125
Physical Therapist
155 RADIO DR
WOODBURY, MN 55125
Emergency Medicine (Sports Medicine)
155 RADIO DR
WOODBURY, MN 55125
Physical Therapist
155 RADIO DR
WOODBURY, MN 55125
Physical Therapist (Orthopedic)
155 RADIO DR
WOODBURY, MN 55125
Nurse Practitioner
155 RADIO DR
WOODBURY, MN 55125

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 Mark Waterman's NPI number?

The NPI number for Mark Waterman is 1144553132. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Mark Waterman located?

Mark Waterman practices at 155 Radio Dr, Saint Paul, MN 55125. The listed phone number is (952) 831-8742.

What is Mark Waterman's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mark Waterman enrolled in Medicare?

Yes. Mark Waterman 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.

Which organizations bill Medicare for Mark Waterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Waterman reassigns Medicare benefits to 11 organizations: Twin Cities Anesthesia Associates PC (Saint Paul, MN), Hudson Hospital, Inc. (Hudson, WI), Tria Orthopaedic Center LLC (Minneapolis, MN), Westfields Hospital, Inc. (New Richmond, WI), Metropolitan Anesthesia Network, LLP (Plymouth, MN) and 6 more organizations, listed in the Medicare section above. 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 Mark Waterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Waterman affiliated with any hospitals?

According to CMS data, Mark Waterman is affiliated with Jackson County Memorial Hospital Authority and Western Wisconsin Health.

When was this NPI record last updated?

The NPPES record for Mark Waterman was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.