DR. KELLY ANNE WATERS (M.D.) – Sleep Medicine (Internal Medicine) Physician, NPI 1821232455

DR. KELLY ANNE WATERS (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in SLEEP MEDICINE, NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301104008 (MI). The NPI Number for DR. KELLY ANNE WATERS (M.D.) is 1821232455

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY ANNE WATERS (M.D.)
NPI
1821232455
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
27 April 2009
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Secondary Phone
6163915600
Graduation Year
2009 (17 years ago)
PAC ID
3375767650
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20140605001965
Address ID
MI495084600KE4444XSEXX401
Telehealth
Yes

Contacts

Secure Messaging
kwaters102980@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

153 SLEEP MEDICINE in MI

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Provider Addresses for DR. KELLY ANNE WATERS (M.D.)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Lake Drive Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49546, United States

    GRAND RAPIDS, MI 495468292

    Phone: (616) 391-3759

    Fax: (616) 391-3052

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $11,061.

Total Amount is formed as General ($11,061) + Research ($0) + Ownership ($0) = $11,061.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($10,193).

Total Amount

$11,061

General + Research + Ownership

Payments

55

Total payment records

General Amount

$11,061

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2014-06-05

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
I20140605001965ISleep MedicineMITBD

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
99204New patient office or other outpatient visit, 45-59 minutes4949$0
G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation4645$0
99213Established patient office or other outpatient visit, 20-29 minutes3734$0
95810Sleep study in sleep lab (6 years or older)3737$0
99214Established patient office or other outpatient visit, 30-39 minutes2320$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

DR. KELLY ANNE WATERS (M.D.) performs procedures in SLEEP MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SLEEP MEDICINEMI95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube3934

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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the standard ID for DR. KELLY ANNE WATERS (M.D.) in the U.S.?
In the U.S., DR. KELLY ANNE WATERS (M.D.) is identified by NPI 1821232455.
Is DR. KELLY ANNE WATERS (M.D.)'s NPI status active today?
Active status means DR. KELLY ANNE WATERS (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. KELLY ANNE WATERS (M.D.)'s listing?
DR. KELLY ANNE WATERS (M.D.)'s public classification highlights Sleep Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KELLY ANNE WATERS (M.D.)?
DR. KELLY ANNE WATERS (M.D.) shows a connection to Grand Rapids, Michigan in registry-derived data.
Who maintains DR. KELLY ANNE WATERS (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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