COURTNEY WATERS
NPI 1811508435
Physician Assistant in Bountiful, UT

Q: What is Courtney Waters's NPI number?

The NPI number for Courtney Waters is 1811508435. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Q: What is Courtney Waters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Courtney Waters was last updated on January 21, 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 August 17, 2020PECOS EnrolledAccepts Medicare Assignment

557 W 2600 S, BOUNTIFUL, UT 84010(801) 298-9155(801) 298-9156 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2022, Aug 17, 2020 (2 updates tracked since 2020).

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About Courtney Waters NPPES

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

COURTNEY WATERS (NPI 1811508435) is an individual physician assistant in Bountiful, Utah, licensed in Utah (12615135-1206) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811508435

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCOURTNEY WATERS

Location Address557 W 2600 SBountiful, UT 84010-7717

Mailing Address557 W 2600 SBountiful, UT 84010-7717 · (801) 298-9155 · Fax (801) 298-9156

Phone(801) 298-9155

Fax(801) 298-9156

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 17, 2020

Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2022

✔ NPI 1811508435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 12615135-1206

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

557 W 2600 S, Bountiful, UT 84010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Courtney Waters 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 ID9032502547

PECOS Enrollment IDI20220204001760

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

79 services44 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

13 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460006

Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County

Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460042

Location630 East Medical DriveBountiful, UT 84010 · Davis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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 15

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

ALLISON HANNA D.O.

Family Medicine