STEPHANIE WATERMAN (APRN, FNP-C) – Nurse Practitioner, NPI 1801278809
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for STEPHANIE WATERMAN (APRN, FNP-C)
201 S Park Ln
Altus, OK 735215733
Phone: (580) 482-9020
Fax: (580) 480-3113
Type: Location
1100 BERGSLIEN ST
BALDWIN, WI 540022600
Phone: (715) 684-1111
Fax: (715) 684-1119
Type: Location
5300 N INDEPENDENCE AVE
SUITE 280
OKLAHOMA CITY, OK 731125556
Phone: (580) 482-9020
Fax: (580) 480-3113
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: 2016-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161201000977 | I | Nurse Practitioner | WI | TBD |
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.
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 73521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | WI | |
| Nurse Practitioner | MN | |
| - | WI | |
| - | WI | |
| Hematology, Medical Oncology, Internal Medicine, Medical Oncology | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Hospice/Palliative Care, Family Practice | MN | |
| Nurse Practitioner | WI |
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