SHIETA YVETTE WATERS
NPI 1306667175
Nurse Practitioner - Gerontology in Brooklyn, NY

Q: What is Shieta Waters's NPI number?

The NPI number for Shieta Waters is 1306667175. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Q: What is Shieta Waters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Shieta Waters was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2024PECOS Enrolled

326 7TH ST, BROOKLYN, NY 11215(718) 965-1234 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Shieta Yvette Waters NPPES

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

SHIETA YVETTE WATERS (NPI 1306667175) is an individual gerontology provider in Brooklyn, New York, licensed in New York (312035) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306667175

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSHIETA YVETTE WATERS

Location Address326 7TH STBrooklyn, NY 11215-3311

Mailing Address1552 Saint Johns PlBrooklyn, NY 11213-3917 · (215) 791-1481

Phone(718) 965-1234

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1306667175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in NY · 312035

326 7TH ST, Brooklyn, NY 11215

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shieta Yvette Waters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537658125

PECOS Enrollment IDI20251103001954

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11215 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Leave this field empty