JESSICA WATERS (PA-C) – Physician Assistant, NPI 1043688690

JESSICA WATERS (PA-C) is a healthcare provider. based in Orland park, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085005470 (IL). The NPI Number for JESSICA WATERS (PA-C) is 1043688690

Main info

Female
12 Years Of Experience
Name
JESSICA WATERS (PA-C)
NPI
1043688690
Phone
(708) 715-2571
Address
9227 BEDFORD LN
Enumeration Date
11 September 2015
Last Update Date
29 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
0840590212
Professional Enrollment ID
I20151208001442
Address ID
IL605636510NA1460XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for JESSICA WATERS (PA-C)

  • 9227 BEDFORD LN

    ORLAND PARK, IL 604626745

    Phone: (708) 715-2571

    Type: Mailing

  • 1460 BOND ST STE 130

    NAPERVILLE, IL 605636510

    Phone: (630) 859-0120

    Type: Mailing

  • 1460 BOND ST

    NAPERVILLE, IL 605636502

    Phone: (630) 859-0120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $3,225.

Total Amount is formed as General ($3,225) + Research ($0) + Ownership ($0) = $3,225.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($733).

Total Amount

$3,225

General + Research + Ownership

Payments

166

Total payment records

General Amount

$3,225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2015-12-08

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
I20151208001442IPhysician AssistantILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes19263$0
99214Established patient office or other outpatient visit, 30-39 minutes3822$0
View full utilization report →

Insurance plans in this area (ZIP 60462)

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Reviews

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Frequently asked questions

Can I use this page to confirm JESSICA WATERS (PA-C)'s NPI?
Yes. JESSICA WATERS (PA-C) is listed with NPI 1043688690 in the public NPI dataset.
Does the file indicate JESSICA WATERS (PA-C) is practicing under active NPI?
Directory data currently reports JESSICA WATERS (PA-C) as active.
What taxonomy line describes JESSICA WATERS (PA-C)?
For research purposes, treat JESSICA WATERS (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JESSICA WATERS (PA-C)?
JESSICA WATERS (PA-C)'s geographic hint is Orland Park, Illinois in our summary view.
Why does JESSICA WATERS (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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