Mrs Katy Nicole Waters, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Moody, Texas. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Coryell County Memorial Hospital Authority and her current practice location is
404 Avenue E, Moody, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 853-9603.
Mrs Katy Nicole Waters is licensed to practice in Texas (license number 1164513) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386487981.
Provider's Profile
| Full Name | Mrs Katy Nicole Waters |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 404 Avenue E, Moody, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Katy Nicole Waters graduated from nursing school in 2024
NPI Data:
- NPI Number: 1386487981
- Provider Enumeration Date: 06/13/2024
- Last Update Date: 04/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 7113465311
- Enrollment ID: I20240820000381
Medical Identifiers
Medical identifiers for Mrs Katy Nicole Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386487981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1164513 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coryell County Memorial Hospital Authority | 7719886282 | 38 |
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. Mrs Katy Nicole Waters allows following entities to bill medicare on her behalf.
| Entity Name | Coryell County Memorial Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992832521
PECOS PAC ID: 7719886282
Enrollment ID: O20040202000105 |
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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. Mrs Katy Nicole 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 |
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Mrs Katy Nicole Waters, FNP-C
1507 W Main St,
Gatesville, TX 76528-1024
Ph: (254) 865-2166 | Mrs Katy Nicole Waters, FNP-C
404 Avenue E,
Moody, TX 76557-3579
Ph: (254) 853-9603 |
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