MICHELLE JORDON WATERS (FNP-BC) – Family Nurse Practitioner, NPI 1285267369
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for MICHELLE JORDON WATERS (FNP-BC)
329 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046062
Phone: (423) 979-4100
Type: Mailing
310 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046008
Phone: (423) 328-0163
Fax: (423) 491-8109
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $654.
Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($171).
Total Amount
$654
General + Research + Ownership
Payments
34
Total payment records
General Amount
$654
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200608001197 | I | Nurse Practitioner | TN | TBD |
| I20240418003361 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 14 | 14 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 12 | 11 | $0 |
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| General Surgery | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| General Surgery | TN | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Vascular Surgery | TN | |
| - | TN |
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