Jack Waters, CRNA
NPI 1407152358 · Certified Registered Nurse Anesthetist · Saint George, UT
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Waters, CRNA is a Certified Registered Nurse Anesthetist provider in Saint George, UT (NPI 1407152358).
Provider details
- NPI number
- 1407152358
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 201160004CRNA (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-09
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Frequently asked questions
- What is Jack Waters's NPI number?
- Jack Waters's National Provider Identifier (NPI) is 1407152358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Waters's specialty?
- Jack Waters is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jack Waters located?
- Jack Waters's practice location on file with NPPES is 2365 E Segovia Dr, Saint George, UT 84790-7487.
- What is Jack Waters's phone number?
- The practice phone number listed in the NPPES registry for Jack Waters is (435) 773-5585.
- Does Jack Waters accept Medicare?
- Jack Waters is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Waters's NPI active?
- Yes — Jack Waters's NPI (1407152358) is active in the NPPES registry as of the last update on 2021-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.