Katelyn Van De Water, CAA
NPI 1104476985 · Anesthesiologist Assistant · Fort Myers, FL
Enrolled with Medicare as Practitioner - Anesthesiology Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katelyn Van De Water, CAA is a Anesthesiologist Assistant provider in Fort Myers, FL (NPI 1104476985).
Provider details
- NPI number
- 1104476985
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CAA
- Sex
- Female
- Sole proprietor
- No
- License
- AA544 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiologist Assistant367H00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
22 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Upper Abdomen00790 | 11 | $152 |
| Anesthesia for Other Procedure on Large Bowel Using an Endoscope00811 | 11 | $62 |
Typical Medicare-allowed amounts for these services range $62–$152 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2019-10-02
Frequently asked questions
- What is Katelyn Van De Water's NPI number?
- Katelyn Van De Water's National Provider Identifier (NPI) is 1104476985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katelyn Van De Water's specialty?
- Katelyn Van De Water is listed in the NPPES registry with a primary specialty of Anesthesiologist Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katelyn Van De Water located?
- Katelyn Van De Water's practice location on file with NPPES is 2776 Cleveland Ave, Fort Myers, FL 33901-5864.
- What is Katelyn Van De Water's phone number?
- The practice phone number listed in the NPPES registry for Katelyn Van De Water is (239) 343-2000.
- Does Katelyn Van De Water accept Medicare?
- Katelyn Van De Water is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katelyn Van De Water's NPI active?
- Yes — Katelyn Van De Water's NPI (1104476985) is active in the NPPES registry as of the last update on 2019-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.