MS. KATHLEEN ANNE WATERS APRN
NPI 1295028959
Nurse Practitioner - Adult Health in Summerville, SC

Q: What is Kathleen Waters's NPI number?

The NPI number for Kathleen Waters is 1295028959. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Q: What is Kathleen Waters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Waters was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 May 26, 2011PECOS EnrolledAccepts Medicare Assignment

204 N CEDAR ST STE 100, SUMMERVILLE, SC 29483(843) 821-2480(843) 875-3149 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Jan 10, 2019 (2 updates tracked since 2019).

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About Ms. Kathleen Anne Waters Aprn NPPES

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

MS. KATHLEEN ANNE WATERS APRN (NPI 1295028959) is an individual adult health provider in Summerville, South Carolina, licensed in South Carolina (4447) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1295028959

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. KATHLEEN ANNE WATERSCredential: APRN

Location Address204 N CEDAR ST STE 100Summerville, SC 29483-6453

Mailing Address204 N Cedar St Ste 100Summerville, SC 29483-6453 · (843) 821-2480 · Fax (843) 875-3149

Phone(843) 821-2480

Fax(843) 875-3149

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateMay 26, 2011

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1295028959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 4447

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 4447 (SC)

204 N CEDAR ST STE 100, Summerville, SC 29483

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathleen Anne Waters Aprn 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 ID1355511049

PECOS Enrollment IDI20110908001596

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.

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.

127 services20 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

114 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29483 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 7

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

NORMA JUNE TAVERAS NP

Nurse Practitioner (Psychiatric/Mental Health)