Jennifer Jane Waterman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10002212A Issued in IN

Practice address

3600 W Bethel Ave
Muncie, IN 47304-5407

Phone

(800) 622-6575

NPI assigned

Mar 9, 2007

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

81.81 of 100Reported as group

Quality

64.48

Promoting interoperability

96

Improvement activities

40

Cost

78.21

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.waterman.p4@direct.beaconortho.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Indiana Orthopedics LLC

  dba OrthoAlliance of Indiana

  • Orthopaedic Surgery Physician
  • Muncie, IN
  • NPI 1063422137
  Medicare reassignment NPD
• Central Indiana Orthopedics, LLC

  dba OrthoAlliance of Indiana

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1669207023
  NPD
• Andres S Enriquez MD PA

  dba Franklin Medical Center

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1467575670
  NPD (past)
• Horizon Pediatric Night Clinic

  • Urgent Care Clinic/Center
  • El Paso, TX
  • NPI 1225382609
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1811029572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "INACTIVE",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PAO3379",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savana Ward, RBT
• Adam Christopher Warner
• Stephen Mark Warner, RPH
• Anna Washburne
• Dean F Wasylyshen, BOC(P)
• Scott McGinnis Waterman, M.D.
• Nicole Marie Waters, NP
• Megan Colleen Wathen, FNP
• Amy Watkins
• Kayla K Watkins, NP

• Physician Assistant in Muncie, IN
• Providers in Muncie, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.