MANDY LYNNE WATERS APRN-CNP - NPI 1619327970 - Nurse Practitioner in Ada, OK

Q: 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.

Q: What is Mandy Waters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy Waters was last updated on January 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1619327970

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDY LYNNE WATERSCredential: APRN-CNP

Location Address721 BETTER NOW PLZAda, OK 74820-2279

Mailing Address902 Arlington CtrAda, OK 74820-2883 · (580) 272-0025 · Fax (580) 272-6659

Phone(580) 272-0025

Sole ProprietorNo

Enumeration DateJune 17, 2016

Last NPPES UpdateJanuary 11, 20182 updates tracked since enumeration

✔ NPI 1619327970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in OK · R 0073536

721 BETTER NOW PLZ, Ada, OK 74820

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Other Identifiers 1

Medicaid550021ZHJPOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy Lynne Waters Aprn-cnp 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 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.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.