ANTAY LANE WATERS (DNP, APRN, CNM, WHNP) – Nurse Practitioner, NPI 1649638776
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 CERTIFIED NURSE MIDWIFE (CNM) in TX
Provider Addresses for ANTAY LANE WATERS (DNP, APRN, CNM, WHNP)
P.O. BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8400
Fax: (817) 378-3699
Type: Mailing
1250 EIGHTH AVE
SUITE 445
FORT WORTH, TX 761044144
Phone: (817) 923-0022
Fax: (817) 921-2801
Type: Location
1500 S MAIN ST
FORT WORTH, TX 761044917
Phone: (817) 702-3595
Type: Location
1400 GROVELAND AVE
LONGVIEW, TX 756013811
Phone: (682) 500-0928
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,135.
Total Amount is formed as General ($1,135) + Research ($0) + Ownership ($0) = $1,135.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($276).
Total Amount
$1,135
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,135
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $276 |
| Novo Nordisk Inc | $165 |
| Inspire Medical Systems, Inc. | $136 |
| GENZYME CORPORATION | $129 |
| Lilly USA, LLC | $125 |
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: 2025-07-08
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 |
|---|---|---|---|---|
| I20160404000659 | I | Nurse Practitioner | TX | TBD |
| I20250708004576 | I | Certified Nurse Midwife (Cnm) | TX | 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 76161)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.