JENNIFER CARRIE WATERS (ACNP) – Acute Care Nurse Practitioner, NPI 1922196526

JENNIFER CARRIE WATERS (ACNP) is a healthcare provider. based in Paducah, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 4988P (KY). The NPI Number for JENNIFER CARRIE WATERS (ACNP) is 1922196526

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER CARRIE WATERS (ACNP)
NPI
1922196526
Phone
(270) 575-8472
Address
2501 KENTUCKY AVE
Enumeration Date
10 October 2006
Last Update Date
19 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2704414700
Graduation Year
2006 (20 years ago)
PAC ID
0547361479
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20070723000527
Address ID
KY420033801PA2605XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

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Provider Addresses for JENNIFER CARRIE WATERS (ACNP)

  • Baptist Health Paducah, 2501, Kentucky Avenue, Paducah, McCracken County, Kentucky, 42003, United States

    PADUCAH, KY 42003

    Phone: (270) 575-8472

    Fax: (270) 441-4707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $1,872.

Total Amount is formed as General ($1,872) + Research ($0) + Ownership ($0) = $1,872.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($478).

Total Amount

$1,872

General + Research + Ownership

Payments

99

Total payment records

General Amount

$1,872

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2007-07-23

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
I20070723000527INurse PractitionerKYTBD

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
83036Hemoglobin a1c level2721$0
81003Automated urinalysis test2520$0
71046X-ray of chest, 2 views1413$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1414$0
View full utilization report →

Insurance plans in this area (ZIP 42003)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER CARRIE WATERS (ACNP)?
NPI 1922196526 is assigned to JENNIFER CARRIE WATERS (ACNP) under the national enumeration system.
Is JENNIFER CARRIE WATERS (ACNP) currently active in the NPI registry?
CMS-published data lists JENNIFER CARRIE WATERS (ACNP) as an active registrant.
Does JENNIFER CARRIE WATERS (ACNP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for JENNIFER CARRIE WATERS (ACNP). Clinical services aligned with this taxonomy classification.
Where is JENNIFER CARRIE WATERS (ACNP)'s primary listing?
We display Paducah, Kentucky because that is what the record indicates for JENNIFER CARRIE WATERS (ACNP).
How can I contact JENNIFER CARRIE WATERS (ACNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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