Courtney Waters
NPI 1639571961 · Physician Assistant · Jacksonville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Courtney Waters is a Physician Assistant provider in Jacksonville, FL (NPI 1639571961).
Provider details
- NPI number
- 1639571961
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PAT9108237 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
11 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$145 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 11513 N Main StJacksonville, FL 32218-4002Phone: (904) 751-6200Fax: (904) 751-1600
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2021-05-10
- Certified
- 2021-04-28
Frequently asked questions
- What is Courtney Waters's NPI number?
- Courtney Waters's National Provider Identifier (NPI) is 1639571961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Courtney Waters's specialty?
- Courtney Waters is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Courtney Waters located?
- Courtney Waters's practice location on file with NPPES is 11513 N Main St, Jacksonville, FL 32218-4002.
- What is Courtney Waters's phone number?
- The practice phone number listed in the NPPES registry for Courtney Waters is (904) 751-6200.
- Does Courtney Waters accept Medicare?
- Courtney Waters is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Courtney Waters's NPI active?
- Yes — Courtney Waters's NPI (1639571961) is active in the NPPES registry as of the last update on 2021-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.