KAYLIE DIONNE WATERS (RN, BSN) – Registered Nurse, NPI 1235707605
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAYLIE DIONNE WATERS (RN, BSN)
PO BOX 776982
CHICAGO, IL 606776982
Phone: (231) 672-2119
Type: Mailing
1445 SHELDON RD
STE 300
GRAND HAVEN, MI 49417
Phone: (616) 296-1500
Fax: (616) 296-1502
Type: Location
1880 S WOLF LAKE RD
MUSKEGON, MI 494424842
Phone: (734) 330-3974
Type: Mailing
1500 E SHERMAN BLVD
MUSKEGON, MI 494441849
Phone: (231) 672-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Ironshore Pharmaceuticals Inc. ($77).
Total Amount
$77
General + Research + Ownership
Payments
1
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ironshore Pharmaceuticals Inc. | $77 |
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: 2023-10-14
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 |
|---|---|---|---|---|
| I20231014000215 | I | Nurse Practitioner | MI | 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 60677)
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