Caitlin Elizabeth Waters, APRN-CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Roland, Oklahoma. Her current practice location is
106 W Ray Fine Boulevard, Suite 3, Roland, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 571-4332.
Caitlin Elizabeth Waters is licensed to practice in Oklahoma (license number 217058) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760208441.
Provider's Profile
Full Name | Caitlin Elizabeth Waters |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 106 W Ray Fine Boulevard, Roland, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760208441
- Provider Enumeration Date: 11/27/2024
- Last Update Date: 06/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062941297
- Enrollment ID: I20250131003315
Medical Identifiers
Medical identifiers for Caitlin Elizabeth Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760208441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 230935 (Arkansas) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 217058 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Caitlin Elizabeth Waters allows following entities to bill medicare on her behalf.
Entity Name | Mercy Clinic Fort Smith Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20111004000298 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caitlin Elizabeth Waters is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Caitlin Elizabeth Waters, APRN-CNP 106 W Ray Fine Boulevard, Suite 3, Roland, OK 74954 Ph: (918) 571-4332 | Caitlin Elizabeth Waters, APRN-CNP 106 W Ray Fine Boulevard, Suite 3, Roland, OK 74954 Ph: (918) 571-4332 |
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