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BRENTON WATERS PA-C
NPI 1619402732
Physician Assistant in Salt Lake City, UT

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
565 KOMAS DRIVE, SALT LAKE CITY, UT 84108(801) 584-5144(801) 584-5206 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2019, Apr 26, 2017 (2 updates tracked since 2017).

About Brenton Waters Pa-c NPPES

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

BRENTON WATERS PA-C (NPI 1619402732) is an individual physician assistant in Salt Lake City, Utah and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619402732
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENTON WATERSCredential: PA-C
Location Address565 KOMAS DRIVESalt Lake City, UT 84108
Mailing Address565 Komas DriveSalt Lake City, UT 84108 · (801) 584-5144 · Fax (801) 584-5206
Phone(801) 584-5144
Fax(801) 584-5206
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 26, 2017
Last NPPES UpdateFebruary 14, 20192 updates tracked since enumeration
✔ NPI 1619402732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
565 KOMAS DRIVE, Salt Lake City, UT 84108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Brenton Waters Pa-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 ID5496024333
PECOS Enrollment IDI20170707002223
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.

Hospital Affiliations CMS Care Compare

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MONICA ANN BACHTELL NFP
Nurse Practitioner (Family)
565 KOMAS DRIVE
SALT LAKE CITY, UT 84108
Salt Lake County (801) 584-5144
ASHLEY CAFFERTY PHYSICIAN ASSISSTANT
Physician Assistant
565 KOMAS DRIVE
SALT LAKE CITY, UT 84108
Salt Lake County (801) 584-5144
DR. HOLLY ELIZABETH GURGLE PHARMD
Pharmacist
565 KOMAS DRIVE
SALT LAKE CITY, UT 84108
Salt Lake County (801) 584-5144

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 Brenton Waters's NPI number?

The NPI number for Brenton Waters is 1619402732. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Brenton Waters located?

Brenton Waters practices at 565 Komas Drive, Salt Lake City, UT 84108. The listed phone number is (801) 584-5144.

What is Brenton Waters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brenton Waters enrolled in Medicare?

Yes. Brenton 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 Brenton Waters accept?

Health plans from Select Health list Brenton 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 Brenton Waters affiliated with any hospitals?

According to CMS data, Brenton Waters is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Brenton Waters was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.