MISS JENNIFER ROSE WAITERS BC-ACPNP, BC-NNP
NPI 1639475866
Nurse Practitioner - Pediatrics in Cleveland, OH

Q: What is Jennifer Waiters's NPI number?

The NPI number for Jennifer Waiters is 1639475866. It was assigned to this individual provider in the NPPES registry on February 6, 2011.

Q: What is Jennifer Waiters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Waiters was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 06, 2011PECOS Enrolled

9500 EUCLID AVE, CLEVELAND, OH 44195(216) 445-1580(216) 445-3692 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Miss Jennifer Rose Waiters Bc-acpnp, Bc-nnp NPPES

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

MISS JENNIFER ROSE WAITERS BC-ACPNP, BC-NNP (NPI 1639475866) is an individual pediatrics provider in Cleveland, Ohio, licensed in Ohio (COA12084-NP) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639475866

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMISS JENNIFER ROSE WAITERSCredential: BC-ACPNP, BC-NNP

Location Address9500 EUCLID AVECleveland, OH 44195-1716

Mailing Address1572 Laclede RdSouth Euclid, OH 44121-3012 · (216) 410-4398

Phone(216) 445-1580

Fax(216) 445-3692

Sole ProprietorNo

Enumeration DateFebruary 6, 2011

Last NPPES UpdateOctober 6, 2022

NPPES CertifiedOctober 6, 2022

✔ NPI 1639475866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in OH · COA12084-NP

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License COA12084-NP (OH)

9500 EUCLID AVE, Cleveland, OH 44195

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jennifer Rose Waiters Bc-acpnp, Bc-nnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Waiters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Cleveland Clinic Foundation

Same address

General Acute Care Hospital

9500 EUCLID AVE
Cleveland, OH 44195

Reassigned Medicare billing, Ohio enrollment
7,608 clinicians in this Medicare group

NPI 1679525919 (216) 444-2200

University Hospitals Medical Group Inc

0.9 mi

Multi-Specialty

11100 EUCLID AVE
Cleveland, OH 44106

Reassigned Medicare billing, Ohio enrollment
3,958 clinicians in this Medicare group

NPI 1669499414 (216) 844-1000

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 44195 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 20

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

MS. MARY COLLEEN RATH R.D., L.D., CNSC

Dietitian, Registered

9500 EUCLID AVE, M17
CLEVELAND, OH 44195

Cuyahoga County (216) 444-6986

DR. CHRISTOPHER F TENGGARDJAJA M.D.

Urology (Urogynecology and Reconstructive Pelvic Surgery)

9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5600

DR. MASATO FUJIKI M.D., PH.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (216) 444-8007

KRISTIN R JOHNSON CNP

Nurse Practitioner

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MONICA LYNN SHEIN CRNA

Nurse Anesthetist, Certified Registered

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MRS. TONYA RENEE GOINGS ACNP-BC

Nurse Practitioner (Acute Care)

9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195

Cuyahoga County (216) 444-2200

MS. DANA ANNE RUBIS CNP

Nurse Practitioner (Critical Care Medicine)

9500 EUCLID AVE, G58
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5086

DR. RACHAEL C SULLIVAN M.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (440) 449-1101

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 Jennifer Waiters's NPI number?

The NPI number for Jennifer Waiters is 1639475866. It was assigned to this individual provider in the NPPES registry on February 6, 2011.

Where is Jennifer Waiters located?

Jennifer Waiters practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 445-1580.

What is Jennifer Waiters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jennifer Waiters enrolled in Medicare?

Yes. Jennifer Waiters is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Waiters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Waiters reassigns Medicare benefits to 2 organizations: The Cleveland Clinic Foundation (Cleveland, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each 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 Jennifer Waiters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Waiters accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Jennifer Waiters 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.

When was this NPI record last updated?

The NPPES record for Jennifer Waiters was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.