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JEANNINE RENEE WATERMAN ARNP
NPI 1770732844
Nurse Practitioner in Daytona Beach, FL

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
303 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 254-4210(386) 254-4212 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeannine Renee Waterman Arnp NPPES

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

JEANNINE RENEE WATERMAN ARNP (NPI 1770732844) is an individual nurse practitioner in Daytona Beach, Florida, licensed in Florida (ARNP2796752) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1770732844
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJEANNINE RENEE WATERMANCredential: ARNP
Location Address303 NORTH CLYDE MORRIS BLVDDaytona Beach, FL 32114-2709
Mailing Address303 North Clyde Morris BlvdDaytona Beach, FL 32114-2709 · (386) 254-4210 · Fax (386) 254-4212
Phone(386) 254-4210
Fax(386) 254-4212
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 15, 2008
Last NPPES UpdateApril 5, 2010
✔ NPI 1770732844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP2796752
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
303 NORTH CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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Other Identifiers 3

Medicare PINAS487ZFL
OtherARNP2796752FL · Medical License
Medicaid000400700FL

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

Jeannine Renee Waterman Arnp 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 ID8820157951
PECOS Enrollment IDI20081105000022
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 Reassignment

Medicare enrollment records show Jeannine Waterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Halifax Healthcare Systems Inc
0.2 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

DR. LARRY L ALEXANDER MD
Emergency Medicine
303 NORTH CLYDE MORRIS BLVD, HALIFAX HEALTH MEDICAL CENTER
DAYTONA BEACH, FL 32114
Volusia County (386) 425-2285

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 Jeannine Waterman's NPI number?

The NPI number for Jeannine Waterman is 1770732844. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Jeannine Waterman located?

Jeannine Waterman practices at 303 North Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 254-4210.

What is Jeannine Waterman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeannine Waterman enrolled in Medicare?

Yes. Jeannine Waterman 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 Jeannine Waterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannine Waterman reassigns Medicare benefits to Halifax Healthcare Systems Inc (Daytona Beach, FL). 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 Jeannine Waterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeannine Waterman affiliated with any hospitals?

According to CMS data, Jeannine Waterman is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Jeannine Waterman was last updated on April 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.