ELLEN KLIGERMAN WATERS CRNP
NPI 1144725151
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Ellen Kligerman Waters Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN KLIGERMAN WATERS CRNP (NPI 1144725151) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017938) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Kligerman Waters Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ellen Waters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 83 clinicians in this Medicare group
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19140
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 Ellen Waters's NPI number?
The NPI number for Ellen Waters is 1144725151. It was assigned to this individual provider in the NPPES registry on March 30, 2018.
Where is Ellen Waters located?
Ellen Waters practices at 3551 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 430-4000.
What is Ellen Waters's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ellen Waters enrolled in Medicare?
Yes. Ellen Waters is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ellen Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Waters reassigns Medicare benefits to 2 organizations: Shriners Hospitals For Children (Philadelphia, PA) and Stc Pediatrics LLC (Philadelphia, PA). 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 Ellen Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Waters accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and CareSource list Ellen 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 Ellen Waters was last updated on March 30, 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.
# Ellen Kligerman Waters, CRNP · NPI 1144725151
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 30, 2018.
## Identity
- **NPI:** 1144725151 (Entity type: Individual)
- **Enumerated:** March 30, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP017938 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3551 N BROAD ST, Philadelphia, PA 19140-4160
- **Phone:** (215) 430-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Shriners Hospitals For Children (NPI 1023506276, Philadelphia, PA); Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1144725151) · Data from the CMS NPPES public registry.