HENRY JR. WATERS (P.A.-C) – Medical Physician Assistant, NPI 1003868738

HENRY JR. WATERS (P.A.-C) is a healthcare provider. based in Wimberley, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA03888 (TX). The NPI Number for HENRY JR. WATERS (P.A.-C) is 1003868738

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
HENRY JR. WATERS (P.A.-C)
NPI
1003868738
Phone
(512) 847-3366
Address
PO BOX 2970
Enumeration Date
17 May 2006
Last Update Date
9 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104934357
Graduation Year
1995 (31 years ago)
PAC ID
1850375841
Group Practice PAC ID
3173697935
Professional Enrollment ID
I20040616001263
Address ID
TX782482342SA16755RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for HENRY JR. WATERS (P.A.-C)

  • Wimberley Court, Coupar Angus, Perth and Kinross, Scotland, PH13 9AG, United Kingdom

    WIMBERLEY, TX 786767870

    Phone: (512) 847-3366

    Fax: (512) 847-3327

    Type: Mailing

  • Brookshire Brothers, 14100, Ranch Road 12, Wimberley, Hays County, Texas, 78676, United States

    STE 900

    WIMBERLEY, TX 786765354

    Phone: (512) 847-3366

    Fax: (512) 847-3327

    Type: Location

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: 2004-06-16

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
I20040616001263IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes143131$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9011$0
87804Detection test by immunoassay with direct visual observation for influenza virus6432$0
99204New patient office or other outpatient visit, 45-59 minutes5858$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3331$0
View full utilization report →

Insurance plans in this area (ZIP 78676)

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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: 3173697935View full group profile

Reviews

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Frequently asked questions

Does HENRY JR. WATERS (P.A.-C) have a public NPI I can cite?
Public records show HENRY JR. WATERS (P.A.-C) under NPI 1003868738.
Is HENRY JR. WATERS (P.A.-C)'s NPI status active today?
Active status means HENRY JR. WATERS (P.A.-C)'s NPI record is not deactivated in the public file.
Which specialty label fits HENRY JR. WATERS (P.A.-C)?
NPPES ties HENRY JR. WATERS (P.A.-C) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is HENRY JR. WATERS (P.A.-C) tied to Wimberley, Texas?
If you are local to Wimberley, Texas, HENRY JR. WATERS (P.A.-C) may be relevant to your search.
Can I export HENRY JR. WATERS (P.A.-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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