KATHRYN M WATERMAN (RPA-C, MPAS) – Surgical Physician Assistant, NPI 1518244326

KATHRYN M WATERMAN (RPA-C, MPAS) is a healthcare provider. based in Bradenton, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials RPA-C, MPAS. They hold a License No. 015249 (NY). The NPI Number for KATHRYN M WATERMAN (RPA-C, MPAS) is 1518244326

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN M WATERMAN (RPA-C, MPAS)
NPI
1518244326
Phone
(941) 794-5621
Address
2010 59th St W Ste 2200
Enumeration Date
8 November 2011
Last Update Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278231234
Graduation Year
2011 (15 years ago)
PAC ID
2769640465
Group Practice PAC ID
2668882507
Professional Enrollment ID
I20200722002891
Address ID
FL337014814ST701XXSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

9,304 PHYSICIAN ASSISTANT in FL

Provider Addresses for KATHRYN M WATERMAN (RPA-C, MPAS)

  • 2010 59th St W Ste 2200

    Bradenton, FL 342094689

    Phone: (941) 794-5621

    Fax: (941) 761-1532

    Type: Location

  • 2010 59TH ST W STE 2200

    BRADENTON, FL 342094689

    Phone: (941) 794-5621

    Fax: (941) 761-1532

    Type: Mailing

  • 603 7TH ST S STE 500

    ST PETERSBURG, FL 337014734

    Phone: (727) 893-6254

    Fax: (727) 553-7158

    Type: Mailing

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 $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: MY01 Inc. ($172).

Total Amount

$209

General + Research + Ownership

Payments

3

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2020-07-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120227000797IPhysician AssistantNYTBD
I20200722002891IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3921$0
99239Hospital discharge day management, more than 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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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: 2668882507View full group profile
NameSpecialtyState
Clinical PsychologistFL
Radiation OncologyMI
Nurse PractitionerFL
Family PracticeFL
Physician AssistantFL
General Surgery, Critical Care (Intensivists)FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Family PracticeFL
Nurse PractitionerFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the registry number for KATHRYN M WATERMAN (RPA-C, MPAS)?
The registry entry for KATHRYN M WATERMAN (RPA-C, MPAS) shows NPI 1518244326.
Is KATHRYN M WATERMAN (RPA-C, MPAS) currently accepting referrals based on NPI status?
Registry metadata lists KATHRYN M WATERMAN (RPA-C, MPAS) as active.
What services align with KATHRYN M WATERMAN (RPA-C, MPAS)'s listing?
KATHRYN M WATERMAN (RPA-C, MPAS)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit KATHRYN M WATERMAN (RPA-C, MPAS) in Bradenton, Florida?
For routing, start with Bradenton, Florida for KATHRYN M WATERMAN (RPA-C, MPAS), then verify phone and hours locally.
Can I export KATHRYN M WATERMAN (RPA-C, MPAS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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