Maureen Waters
Physician Assistant in Wynnewood, PA. Individual provider (NPI-1).
NPI number1962047290
StatusActive
Last updated in NPPESSep 3, 2025
Details
- NPI
- 1962047290
- Entity type
- Individual (NPI-1)
- Name
- Maureen Waters
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2019
- Certification date
- Sep 3, 2025
- Last updated
- Sep 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA066467 | PA | Yes |
| 363A00000X | Physician Assistant | 024441 | NY |
Practice location
100 E Lancaster AvenueSuite 375 Medical Science Building
Wynnewood, PA 19096-3433
Phone 610-645-9093 · Fax 610-645-9476
Mailing address
3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336
Phone 484-337-1632
Other practice locations
1000 10th Ave
New York, NY 10019-1147
New York, NY 10019-1147
Phone 610-781-4682
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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