Kimberly Waters, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

111800 Issued in NE

Practice address

9100 Andermatt Dr Ste 1
Lincoln, NE 68526-6700

Phone

(402) 434-2730

Fax

(402) 434-3970

NPI assigned

Jun 12, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

Practice roles

Locations

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.

• Hope Healthcare PC

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1780119396
  Medicare reassignment NPD
• Pine Lake Behavioral Health, LLC.

  • Clinic/Center
  • Lincoln, NE
  • NPI 1003310061
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1528449741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 ANDERMATT DR STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266700",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 ANDERMATT DR STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266700",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 O St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685101532",
            "country_code": "US",
            "telephone_number": "402-261-5048",
            "fax_number": "402-805-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cal T Watanabe
• Hidehiko Watanabe, DDS, MS
• Mackenzie Watenpaugh
• Barbara Ann Waterman
• Debra Kay Waterman
• Mariyah Waters
• Paige Ruth Waters
• Tobiann Waters
• Nicholas Anthony Watkins
• Ashley L Watsek-Lundstrom, APRN-BC

• Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.