Doctor profile · Federal record
Dr. Jacquelyn van Waters, NP-C
Nurse Practitioner · Paducah, KY
- NPI 1699211631
- Accepts Medicare
- MIPS 94.8 / 100 · 2023
- 10 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2670 New Holt RD Ste C
Paducah, KY 420017506
(270) 575-1010
fax (270) 575-1007 - Mailing address
-
607 Minter RD
Symsonia, KY 420829402
Credentials & registration
- NPI registered
- January 2017 — 9 yrs on file
- Profile last updated
- July 21, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Kentucky #3011205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699211631. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
429
Distinct HCPCS
6
Medicare allowed
$17,447
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 160 | 19 | $0 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 75 | 56 | $100 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 67 | 58 | $70 | |
J0696 |
Injection, ceftriaxone sodium, per 250 mg | 52 | 12 | $1 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 | 47 | $104 | |
96372 |
Injection of drug or substance under skin or into muscle | 28 | 16 | $11 |
In context: peer comparison
Among 17 peers in this city , average services per provider: 88. This provider delivers 4.9× the peer median.Open Payments
Industry payments received
All-time total
$1,372
Transactions
90
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 42 | $345.79 | |
| Otsuka America Pharmaceutical, Inc. | 9 | $192.18 | |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | 11 | $191.95 | |
| Corium, LLC | 11 | $154.00 | |
| Inspire Medical Systems, Inc. | 1 | $119.33 | |
| Axsome Therapeutics, Inc. | 4 | $105.99 | |
| Supernus Pharmaceuticals, Inc. | 3 | $57.58 | |
| Amgen Inc. | 2 | $34.92 | |
| Inari Medical, Inc. | 1 | $33.31 | |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $26.71 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $25.44 | |
| PFIZER INC. | 1 | $23.93 | |
| Novo Nordisk Inc | 1 | $23.86 | |
| Philips North America LLC | 1 | $20.18 | |
| Exact Sciences Corporation | 1 | $17.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
823
Patients
315
Total drug cost
$11,052
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 90 | 36 | $940 |
| Lisinopril | Generic | 85 | 33 | $745 |
| Duloxetine Hcl | Generic | 67 | 14 | $1,828 |
| Metformin Hcl | Generic | 60 | 18 | $377 |
| Omeprazole | Generic | 59 | 23 | $692 |
| Gabapentin | Generic | 58 | 18 | $597 |
| Montelukast Sodium | Generic | 54 | 16 | $877 |
| Levothyroxine Sodium | Generic | 53 | 20 | $708 |
| Amlodipine Besylate | Generic | 52 | 22 | $415 |
| Methylprednisolone | Generic | 49 | 40 | $397 |
Frequently asked questions
What is Dr. Jacquelyn van Waters's medical specialty?
Dr. Jacquelyn van Waters practices Nurse Practitioner in Paducah, KY.
Where does Dr. Jacquelyn van Waters practice?
Dr. Jacquelyn van Waters practices at 2670 New Holt RD Ste C, Paducah, KY 420017506. Office phone: 2705751010.
What is Dr. Jacquelyn van Waters's NPI?
Dr. Jacquelyn van Waters's National Provider Identifier (NPI) is 1699211631, issued by NPPES.
Does Dr. Jacquelyn van Waters accept Medicare assignment?
Yes. Dr. Jacquelyn van Waters accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacquelyn van Waters commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.