KATIE KNIGHT WATERS – Physician Assistant, NPI 1184273336

KATIE KNIGHT WATERS is a healthcare provider. based in Inverness, Florida. specializing in Physician Assistant. They hold a License No. PA9112252 (FL). The NPI Number for KATIE KNIGHT WATERS is 1184273336

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE KNIGHT WATERS
NPI
1184273336
Phone
(352) 344-2273
Address
1907 Highway 44 W
Enumeration Date
10 September 2019
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523442273
Graduation Year
2019 (7 years ago)
PAC ID
1759612567
Group Practice PAC ID
8325202740
Professional Enrollment ID
I20191009001395
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for KATIE KNIGHT WATERS

  • 1907 Highway 44 W

    Inverness, FL 344533801

    Phone: (352) 344-2273

    Type: Location

  • 700 3rd St Ste 302

    Neptune Beach, FL 322665082

    Phone: (904) 997-3800

    Fax: (904) 997-3899

    Type: Location

  • PO BOX 2066

    LECANTO, FL 344602066

    Phone:

    Type: Mailing

  • 1907 HIGHWAY 44 W

    INVERNESS, FL 344533801

    Phone: (352) 344-2273

    Type: Location

  • 7751 BELFORT PKWY STE 350

    JACKSONVILLE, FL 322566951

    Phone: (904) 363-7453

    Type: Mailing

  • 5742 BOOTH RD STE A

    JACKSONVILLE, FL 322075982

    Phone: (904) 739-7779

    Fax: (904) 739-7771

    Type: Location

  • 7015 A C SKINNER PKWY STE 1

    JACKSONVILLE, FL 322566932

    Phone: (904) 739-7779

    Fax: (904) 739-7771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Celgene Corporation ($158).

Total Amount

$284

General + Research + Ownership

Payments

3

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191009001395IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325202740View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Physician AssistantOH

Reviews

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Frequently asked questions

Does KATIE KNIGHT WATERS have a public NPI I can cite?
Public records show KATIE KNIGHT WATERS under NPI 1184273336.
Is KATIE KNIGHT WATERS's NPI status active today?
Active status means KATIE KNIGHT WATERS's NPI record is not deactivated in the public file.
Which specialty label fits KATIE KNIGHT WATERS?
NPPES ties KATIE KNIGHT WATERS to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KATIE KNIGHT WATERS?
The directory associates KATIE KNIGHT WATERS with Inverness, Florida. Check all listed addresses for suites or satellite offices.
Who maintains KATIE KNIGHT WATERS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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