MR. TIMOTHY LEE WATERS ARNP NPI 1154705051

NPI Information

  • NPI: 1154705051
  • Provider Name: MR. TIMOTHY LEE WATERS, ARNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16420 HEALTHPARK COMMONS DR
    FORT MYERS, FL
    ZIP 33908
  • Phone: (239) 985-1925

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NPI Details

MR. Timothy Lee Waters, ARNP is a gerontology nurse practitioner in Fort Myers, FL with 11 years of experience. MR. Timothy Lee Waters, ARNP NPI is 1154705051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16420 HEALTHPARK COMMONS DR
FORT MYERS, FL
ZIP 33908-621
Phone: (239) 985-1925
Fax: (239) 321-6044

The NPI 1154705051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of artery tube for blood sampling or infusion through skin (HCPCS:36620)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Emergent insertion of breathing tube into windpipe using an endoscope (HCPCS:31500)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 7/10/2015 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerARNP9325102FLORIDANo
2363LA2100XNurse PractitionerAcute CareARNP 9325102FLORIDANo
3363LF0000XNurse PractitionerFamilyAPRN9325102FLORIDANo
4363LG0600XNurse PractitionerGerontologyAPRN9325102FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1398643OTHERFLORIDAAVMED
2Y0SY4OTHERFLORIDABCBS
31254561OTHERFLORIDAWELLCARE
4016793000MEDICAIDFLORIDA
5P1036301OTHERFLORIDAFREEDOM
6P973771OTHERFLORIDAOPTIMUM
77061863OTHERFLORIDACIGNA
84857567OTHERFLORIDAAETNA
9P01652219OTHERFLORIDARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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