EVIE ANNA WATERS – Certified Registered Nurse Anesthetist, NPI 1568161065

EVIE ANNA WATERS is a healthcare provider. based in Murray, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 12419563-4406 (UT). The NPI Number for EVIE ANNA WATERS is 1568161065

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
EVIE ANNA WATERS
NPI
1568161065
Phone
(909) 645-9993
Address
5283 S COBBLE CREEK RD APT 22J
Enumeration Date
23 February 2023
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4358433600
Graduation Year
2022 (4 years ago)
PAC ID
2264806728
Group Practice PAC ID
6002884996
Professional Enrollment ID
I20230323001784
Address ID
UT840749819TO2055XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

Provider Addresses for EVIE ANNA WATERS

  • 5283 S COBBLE CREEK RD APT 22J

    MURRAY, UT 841176736

    Phone: (909) 645-9993

    Type: Mailing

  • 6757 S GLADE CREEK DR

    WEST JORDAN, UT 840816086

    Phone: (909) 645-9993

    Type: Mailing

  • 2055 N MAIN ST

    TOOELE, UT 840749819

    Phone: (435) 843-3600

    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: 2023-03-23

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
I20230323001784ICertified Registered Nurse Anesthetist (Crna)UTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84117)

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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: 6002884996View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)NE
-WA
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

How do I look up EVIE ANNA WATERS by NPI?
Use NPI 1568161065 when you need to reference EVIE ANNA WATERS in forms, claims, or directories.
Is EVIE ANNA WATERS active in the national directory?
EVIE ANNA WATERS's public NPI profile is in an active state.
What kind of provider is EVIE ANNA WATERS?
The page reflects Certified Registered Nurse Anesthetist for EVIE ANNA WATERS. Clinical services aligned with this taxonomy classification.
What location metadata exists for EVIE ANNA WATERS?
The page summarizes Murray, Utah for EVIE ANNA WATERS; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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