MICHAEL STEPHEN ELDER WATERS
NPI 1174265052
Student in an Organized Health Care Education/Training Program in Sayre, PA

Active since April 11, 2022PECOS Enrolled
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE, SAYRE, PA 18840(570) 888-6666 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Stephen Elder Waters NPPES

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

MICHAEL STEPHEN ELDER WATERS (NPI 1174265052) is an individual student in an organized health care education/training program in Sayre, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174265052
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL STEPHEN ELDER WATERS
Location AddressGUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARESayre, PA 18840
Mailing AddressGraduate Medical Education Guthrie/robert Packer Hospit, One Guthrie SquareSayre, PA 18840
Sole ProprietorNo
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
NPI 1174265052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
GUTHRIE/ROBERT PACKER HOSPITAL, Sayre, PA 18840

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Stephen Elder Waters 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.

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840
Internal Medicine
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
GUTHRIE/ROBERT PACKER HOSPITAL, ONE GUTHRIE SQUARE
SAYRE, PA 18840

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 Michael Elder Waters's NPI number?

The NPI number for Michael Elder Waters is 1174265052. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Michael Elder Waters located?

Michael Elder Waters practices at Guthrie/Robert Packer Hospital One Guthrie Square, Sayre, PA 18840. The listed phone number is (570) 888-6666.

What is Michael Elder Waters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Elder Waters enrolled in Medicare?

Yes. Michael Elder Waters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Elder Waters was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.