AMANDA WATERMAN (M.D.) – Family Medicine Physician, NPI 1013397140

AMANDA WATERMAN (M.D.) is a healthcare provider. based in Saginaw, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301107689 (MI). The NPI Number for AMANDA WATERMAN (M.D.) is 1013397140

Main info

Female
11 Years Of Experience
Name
AMANDA WATERMAN (M.D.)
NPI
1013397140
Phone
Not provided
Address
1000 HOUGHTON AVE
Enumeration Date
3 June 2015
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5129789760
Graduation Year
2015 (11 years ago)
PAC ID
4880988369
Group Practice PAC ID
5395802151
Professional Enrollment ID
I20251205000886
Address ID
TX786173505DE7050XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for AMANDA WATERMAN (M.D.)

  • 1000 HOUGHTON AVE

    SAGINAW, MI 486025303

    Phone:

    Type: Mailing

  • 3518 Fm 973

    Del Valle, TX 786173723

    Phone: (512) 978-9760

    Fax: (512) 901-9743

    Type: Location

  • 2529 S 1ST ST

    AUSTIN, TX 787045466

    Phone: (512) 978-9500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-05

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
I20251205000886IFamily PracticeTXTBD

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 48602)

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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: 5395802151View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineTX
-TX
Internal MedicineCO
Nurse PractitionerNC
-TX
Physician AssistantTX
Family PracticeTX
Internal MedicineTX
Internal MedicineTX
Hospitalist, Internal MedicineWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMANDA WATERMAN (M.D.)?
AMANDA WATERMAN (M.D.) — NPI 1013397140 — is the standard way to identify this listing.
Does CMS list AMANDA WATERMAN (M.D.) as active?
Yes — AMANDA WATERMAN (M.D.) is active in the NPI listing used on this page.
What healthcare role does AMANDA WATERMAN (M.D.) hold?
Scheduling teams often label AMANDA WATERMAN (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for AMANDA WATERMAN (M.D.)?
AMANDA WATERMAN (M.D.)'s geographic hint is Saginaw, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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