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KRISTINA MARIE WATERS-DEPIETRO
NPI 1851035125
Nurse Practitioner - Family in Old Tappan, NJ

Active since April 23, 2022PECOS Enrolled
1019 WASHINGTON AVE S, OLD TAPPAN, NJ 07675(732) 266-0072 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Apr 23, 2022 (2 updates tracked since 2022).

About Kristina Marie Waters-depietro NPPES

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

KRISTINA MARIE WATERS-DEPIETRO (NPI 1851035125) is an individual family provider in Old Tappan, New Jersey, licensed in New York (349470) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851035125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA MARIE WATERS-DEPIETRO
Location Address1019 WASHINGTON AVE SOld Tappan, NJ 07675-7209
Mailing Address1019 Washington Ave SOld Tappan, NJ 07675-7209 · (732) 266-0072
Phone(732) 266-0072
Sole ProprietorYes
Enumeration DateApril 23, 2022
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1851035125 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 NY · 349470
1019 WASHINGTON AVE S, Old Tappan, NJ 07675
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Marie Waters-depietro 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 07675 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Kristina Waters-depietro's NPI number?

The NPI number for Kristina Waters-depietro is 1851035125. It was assigned to this individual provider in the NPPES registry on April 23, 2022.

Where is Kristina Waters-depietro located?

Kristina Waters-depietro practices at 1019 Washington Ave S, Old Tappan, NJ 07675. The listed phone number is (732) 266-0072.

What is Kristina Waters-depietro's specialty?

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

Is Kristina Waters-depietro enrolled in Medicare?

Yes. Kristina Waters-depietro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Waters-depietro was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.