MICHELLE JORDON WATERS FNP-BC
NPI 1285267369
Nurse Practitioner - Family in Johnson City, TN

Q: What is Michelle Waters's NPI number?

The NPI number for Michelle Waters is 1285267369. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Q: What is Michelle Waters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Waters was last updated on June 3, 2024. 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.

Active since February 18, 2020PECOS EnrolledAccepts Medicare Assignment

310 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 328-0163(423) 491-8109 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2024, Feb 25, 2020, Feb 18, 2020 (3 updates tracked since 2020).

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About Michelle Jordon Waters Fnp-bc NPPES

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

MICHELLE JORDON WATERS FNP-BC (NPI 1285267369) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (27008) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2019).

NPPES Registry Identity

NPI1285267369

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE JORDON WATERSCredential: FNP-BC

Location Address310 N STATE OF FRANKLIN RDJohnson City, TN 37604-6008

Mailing Address310 N State Of Franklin RdJohnson City, TN 37604-6008 · (423) 328-0163 · Fax (423) 491-8109

Phone(423) 328-0163

Fax(423) 491-8109

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2019

Enumeration DateFebruary 18, 2020

Last NPPES UpdateJune 3, 20243 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1285267369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 27008

310 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

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

Michelle Jordon Waters Fnp-bc 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 ID4082035662

PECOS Enrollment IDI20200608001197, I20240418003361

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 Reassignment

Medicare enrollment records show Michelle Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Vein Center PLLC

Same address

Vascular Surgery

310 N STATE OF FRANKLIN RD STE 103
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee and Virginia enrollments
17 clinicians in this Medicare group

NPI 1477972933 (423) 328-0163

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

114 services102 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine

310 N STATE OF FRANKLIN RD, STE 301A
JOHNSON CITY, TN 37604

Washington County (423) 431-6816

AMANDA WORTHY

Physician Assistant

310 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (828) 216-9657

BLUE RIDGE MEDICAL MANAGEMENT

Surgery (Vascular Surgery)

310 N STATE OF FRANKLIN RD, SUITE 101B
JOHNSON CITY, TN 37604

Washington County (423) 929-7393

CARDIOPULMONARY SURGICAL CONSULTANTS PC

Surgery (Vascular Surgery)

310 N STATE OF FRANKLIN RD, STE 101
JOHNSON CITY, TN 37604

Washington County (423) 929-7393

ENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC

Clinic/Center (Ambulatory Surgical)

310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604

Washington County (423) 929-7111

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Thoracic Surgery (Cardiothoracic Vascular Surgery)

310 N STATE OF FRANKLIN RD, SUITE 101
JOHNSON CITY, TN 37604

Washington County (423) 929-7393

DR. JASON DEWAYNE MCKINNEY D.O.

Internal Medicine (Gastroenterology)

310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604

Washington County (423) 929-7111

TRINITY CANCER CARE, P.C.

Internal Medicine (Medical Oncology)

310 N STATE OF FRANKLIN RD, SUITE 401
JOHNSON CITY, TN 37604

Washington County (423) 926-3611

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 Michelle Waters's NPI number?

The NPI number for Michelle Waters is 1285267369. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Michelle Waters located?

Michelle Waters practices at 310 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 328-0163.

What is Michelle Waters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Waters enrolled in Medicare?

Yes. Michelle 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.

Which organization bills Medicare for Michelle Waters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Waters reassigns Medicare benefits to Legacy Vein Center PLLC (Johnson City, TN). The 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 Michelle Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Waters accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Michelle 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 Michelle Waters was last updated on June 3, 2024. 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.