MS. POLLY ANN WATERS RNFA, FNP-C
NPI 1417987561
Nurse Practitioner in Dallas, TX

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231(214) 220-2468(214) 397-1551 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Polly Ann Waters Rnfa, Fnp-c NPPES

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

MS. POLLY ANN WATERS RNFA, FNP-C (NPI 1417987561) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (646178) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with North Central Surgical Center Llp, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1417987561
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. POLLY ANN WATERSCredential: RNFA, FNP-C
Location Address9301 N CENTRAL EXPY, SUITE 400Dallas, TX 75231-0806
Mailing Address9301 N. Central Exwpy, Suite 400Dallas, TX 75231-0805 · (214) 220-2468 · Fax (214) 397-1551
Fax(214) 397-1551
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 4, 2006
Last NPPES UpdateNovember 4, 2009
✔ NPI 1417987561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 646178
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9301 N CENTRAL EXPY, Dallas, TX 75231

Other Identifiers 2

Medicare ID-Type Unspecified8G2281TX
Medicare UPINQ09599TX

Accepted 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. Polly Ann Waters Rnfa, Fnp-c 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 ID8820085392
PECOS Enrollment IDI20040427001112
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
193 services55 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
73 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services54 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
57 services37 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
35 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670049
Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Advance Care Plan
100%73 patients5/55-star benchmark: 100%
Breast Cancer Screening
57%21 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
38%45 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
61%46 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
99%74 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
94%54 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%70 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 92 patients
99%92 patients
Provide Patients Electronic Access to Their Health Information
100%67 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Orthopaedic Surgery (Hand Surgery)
9301 N CENTRAL EXPY, STE. 340
DALLAS, TX 75231
Physician Assistant
9301 N CENTRAL EXPY
DALLAS, TX 75231
Physical Therapist
9301 N CENTRAL EXPY, TOWER II, 4TH FLOOR, SUITE 451
DALLAS, TX 75231
Orthopaedic Surgery
9301 N CENTRAL EXPY, SUITE 400
DALLAS, TX 75231
Clinical Medical Laboratory
9301 N CENTRAL EXPY, SUITE 335B
DALLAS, TX 75231
Clinical Medical Laboratory
9301 N CENTRAL EXPY, TOWER B 335B
DALLAS, TX 75231
Physical Therapist
9301 N CENTRAL EXPY, SUITE 400
DALLAS, TX 75231
Occupational Therapist
9301 N CENTRAL EXPY, SUITE 340
DALLAS, TX 75231

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 Polly Waters's NPI number?

The NPI number for Polly Waters is 1417987561. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Polly Waters located?

Polly Waters practices at 9301 N Central Expy Suite 400, Dallas, TX 75231. The listed phone number is (214) 220-2468.

What is Polly Waters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Polly Waters enrolled in Medicare?

Yes. Polly 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.

What insurance does Polly Waters accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Polly 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.

Is Polly Waters affiliated with any hospitals?

According to CMS data, Polly Waters is affiliated with North Central Surgical Center LLP.

When was this NPI record last updated?

The NPPES record for Polly Waters was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.