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AMY ELIZABETH WATERS FNP-C
NPI 1508404229
Nurse Practitioner - Family in Los Angeles, CA

Active since December 12, 2019PECOS Enrolled
11620 WILSHIRE BLVD STE 470, LOS ANGELES, CA 90025(424) 256-0272 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2020, Dec 12, 2019 (2 updates tracked since 2019).

About Amy Elizabeth Waters Fnp-c NPPES

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

AMY ELIZABETH WATERS FNP-C (NPI 1508404229) is an individual family provider in Los Angeles, California, licensed in California (95013241) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508404229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY ELIZABETH WATERSCredential: FNP-C
Location Address11620 WILSHIRE BLVD STE 470Los Angeles, CA 90025-1265
Mailing Address11620 Wilshire Blvd Ste 420Los Angeles, CA 90025-1779 · (424) 256-0272 · Fax (424) 389-3797
Phone(424) 256-0272
Sole ProprietorYes
Enumeration DateDecember 12, 2019
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1508404229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95013241
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 95136868 (CA)
11620 WILSHIRE BLVD STE 470, Los Angeles, CA 90025
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Elizabeth Waters Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Amy Waters's NPI number?

The NPI number for Amy Waters is 1508404229. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Amy Waters located?

Amy Waters practices at 11620 Wilshire Blvd Ste 470, Los Angeles, CA 90025. The listed phone number is (424) 256-0272.

What is Amy Waters's specialty?

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

Is Amy Waters enrolled in Medicare?

Yes. Amy Waters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Waters was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.