Active NPI
Melissa Ann Waterman, RN, CRNA
- Certified Registered Nurse Anesthetist
- Jbsa Ft Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 825970
- Practice address
- 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504 - Phone
- (570) 574-1992
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R179446 | MD | |
| Registered Nurse | 163W00000X | 26NR12899400 | NJ | |
| Registered Nurse | 163W00000X | 624304 | NY | |
| Registered Nurse | 163W00000X | 215605 | NC | |
| Registered Nurse | 163W00000X | RN564419 | PA | |
| Registered Nurse | 163W00000X | 825970 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP125194 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 825970 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Mailing address
7751 Coughran Rd
Pleasanton, TX 78064-4435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 E State Hwy 97
Methodist Hospital Atascosa
Jourdanton, TX 78026-1504
Phone (830) 759-5271
499 10TH St
Floresville, TX 78114-3175
Phone (830) 393-1400
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000
Hospital & facility affiliations
- Methodist Hospital Atascosa
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R179446 | MD | MD | Registered Nurse |
| 215605 | NC | MD | Registered Nurse |
| 26NR12899400 | NJ | MD | Registered Nurse |
| 624304 | NY | MD | Registered Nurse |
| RN564419 | PA | MD | Registered Nurse |
| 825970 | TX | MD | Certified Registered Nurse Anesthetist |
| AP125194 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koalat Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lone Star Anesthesia Partners PLLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Seguin PLLC | Current | Accepting new patients | |
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients |
Locations
3301 S 14th St
Ste 16180
Abilene, TX 79605
499 10th St
Floresville, TX 78114
Phone (830) 216-7096
1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603
2555 Jimmy Johnson Blvd
#O
Port Arthur, TX 77640
Phone (409) 724-7389
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355
1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- San Antonio, TX
- NPI 1003523192
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Seguin, TX
- NPI 1265458673
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jourdanton, TX
- NPI 1376071530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1013346733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 COUGHRAN RD",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "570-574-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R179446",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR12899400",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "624304",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "215605",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN564419",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "825970",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP125194",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "825970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.