NICOLE MARIE WATERS (NP) – Nurse Practitioner, NPI 1235651647

NICOLE MARIE WATERS (NP) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71007188A (IN). The NPI Number for NICOLE MARIE WATERS (NP) is 1235651647

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE WATERS (NP)
NPI
1235651647
Phone
Not provided
Address
250 N SHADELAND AVE
Enumeration Date
7 July 2017
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884843258
Graduation Year
2017 (9 years ago)
PAC ID
3971876327
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20170906002048
Address ID
IN473033428MU2401XAVEX400

Contacts

Secure Messaging
nwaters@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

8,192 NURSE PRACTITIONER in IN

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Provider Addresses for NICOLE MARIE WATERS (NP)

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 2401, West University Avenue, Muncie, Delaware County, Indiana, 47303, United States

    MUNCIE, IN 473033428

    Phone: (765) 741-1515

    Fax: (765) 751-5087

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Smith+Nephew, Inc. ($36).

Total Amount

$68

General + Research + Ownership

Payments

2

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

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: 2017-09-06

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
I20170906002048INurse PractitionerINTBD

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
99205New patient office or other outpatient visit, 60-74 minutes2727$0
99215Established patient office or other outpatient visit, 40-54 minutes2626$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

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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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

What is NICOLE MARIE WATERS (NP)'s NPI number?
NICOLE MARIE WATERS (NP)'s NPI is 1235651647 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to NICOLE MARIE WATERS (NP)?
You should see NICOLE MARIE WATERS (NP) as active in CMS-hosted NPPES data.
What expertise is attributed to NICOLE MARIE WATERS (NP)?
NICOLE MARIE WATERS (NP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Indiana is NICOLE MARIE WATERS (NP) registered?
Use Indianapolis, Indiana as the headline location for NICOLE MARIE WATERS (NP) here.
Can I trust this NPI listing for NICOLE MARIE WATERS (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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