Kenneth Waters, RN, PHN - Nurse Practitioner in Sonoma, CA

Kenneth Waters, RN, PHN is a Nurse Practitioner - Family based in Sonoma, California. Kenneth Waters is licensed to practice in California (license number 95040750) and his current practice location is 347 Andrieux St, Sonoma, California. He can be reached at his office (for appointments etc.) via phone at (707) 935-5100.

NPI number for Kenneth Waters is 1457226714 and his current mailing address is 1109 Clayton Ct, Novato, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457226714.

Contact Information

Kenneth Waters, RN, PHN
347 Andrieux St,
Sonoma, CA 95476-6863
(707) 935-5100
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Waters
GenderMale
SpecialityNurse Practitioner - Family
Location347 Andrieux St, Sonoma, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457226714
  • Provider Enumeration Date: 10/07/2025
  • Last Update Date: 08/07/2026

Medical Identifiers

Medical identifiers for Kenneth Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457226714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95281023 (California)Secondary
363LF0000XNurse Practitioner - Family 95040750 (California)Primary

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. Kenneth Waters is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Waters, RN, PHN
1109 Clayton Ct,
Novato, CA 94945-2308

Ph: Not Available
Kenneth Waters, RN, PHN
347 Andrieux St,
Sonoma, CA 95476-6863

Ph: (707) 935-5100

Reviews and Comments


Nurse Practitioner Nurses in Sonoma, CA

Ms. Brenda Lee Albertz, RN FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 15000 Arnold Drive, Sonoma, CA 95431
Phone: 707-938-6556    
Janet Kay Byrd, FNP-C
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Medicare: May Accept Medicare Assignments
Practice Location: 19270 Highway 12, Sonoma, CA 95476
Phone: 707-939-6070    Fax: 707-939-2272
Steven Brewer, FNP
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Medicare: May Accept Medicare Assignments
Practice Location: 19270 Sonoma Hwy, Sonoma, CA 95476
Phone: 707-939-6070    
Dr. Rebecca Anne Spear, DNP, ARNP, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 270 Perkins St, Sonoma, CA 95476
Phone: 707-938-3131    Fax: 707-938-3678
Ms. Holly Lucille Oswald, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 430 W Napa St, Sonoma, CA 95476
Phone: 707-939-6070    Fax: 707-939-6077
Ms. Melinda Jane Moore, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 430 W Napa St Ste F, Sonoma, CA 95476
Phone: 707-939-6070    
Margaret Frances Leisz, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 181 Andrieux St, Suite #202, Sonoma, CA 95476
Phone: 707-933-0500    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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