JACOB WATERS
NPI 1568857035
Speech-Language Pathologist in Colonial Heights, VA
About Jacob Waters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB WATERS (NPI 1568857035) is an individual speech-language pathologist provider in Colonial Heights, Virginia, licensed in Virginia (2202007850) and active in the NPI registry since April 2015. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Jacob Waters 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roanoke, VA 24018
- Reassigned Medicare billing, Virginia enrollment
- 112 clinicians in this Medicare group
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
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.
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.
COLONIAL HEIGHTS, VA 23834
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 Jacob Waters's NPI number?
The NPI number for Jacob Waters is 1568857035. It was assigned to this individual provider in the NPPES registry on April 1, 2015.
Where is Jacob Waters located?
Jacob Waters practices at 235 Dunlop Farms Blvd, Colonial Heights, VA 23834. The listed phone number is (804) 520-0050.
What is Jacob Waters's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Jacob Waters enrolled in Medicare?
Yes. Jacob 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 Jacob Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Waters reassigns Medicare benefits to Legacy Healthcare Services Inc (Roanoke, VA). 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 Jacob Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Waters was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacob Waters · NPI 1568857035
Speech-Language Pathologist provider in Colonial Heights, Virginia. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1568857035 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 2202007850 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 235 DUNLOP FARMS BLVD, Colonial Heights, VA 23834-1792
- **Phone:** (804) 520-0050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Legacy Healthcare Services Inc (NPI 1740820828, Roanoke, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568857035) · Data from the CMS NPPES public registry.