MANDY LYNNE WATERS APRN-CNP
NPI 1619327970
Nurse Practitioner - Family in Ada, OK
About Mandy Lynne Waters Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY LYNNE WATERS APRN-CNP (NPI 1619327970) is an individual family provider in Ada, Oklahoma, licensed in Oklahoma (R 0073536) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mandy Lynne Waters Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mandy Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ada, OK 74820
- Reassigned Medicare billing, Oklahoma enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mandy Waters's NPI number?
The NPI number for Mandy Waters is 1619327970. It was assigned to this individual provider in the NPPES registry on June 17, 2016.
Where is Mandy Waters located?
Mandy Waters practices at 721 Better Now Plz, Ada, OK 74820. The listed phone number is (580) 272-0025.
What is Mandy Waters's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mandy Waters enrolled in Medicare?
Yes. Mandy Waters is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mandy Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Waters reassigns Medicare benefits to (Ada, OK). 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 Mandy 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 Mandy Waters was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mandy Lynne Waters, APRN-CNP · NPI 1619327970
Family physician in Ada, Oklahoma. Individual provider, active in the CMS NPPES registry since June 17, 2016.
## Identity
- **NPI:** 1619327970 (Entity type: Individual)
- **Enumerated:** June 17, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R 0073536 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 721 BETTER NOW PLZ, Ada, OK 74820-2279
- **Phone:** (580) 272-0025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** (NPI 1053389833, Ada, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2018
- **Other identifiers:** Medicaid 550021ZHJP (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1619327970) · Data from the CMS NPPES public registry.