Dr Kelly Anne Waters, MD - Medicare Sleep Medicine in Grand Rapids, MI

Dr Kelly Anne Waters, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Grand Rapids, Michigan. She went to New York University Medical College - Nlg and graduated in 2009 and has 15 years of diverse experience with area of expertise as Sleep Medicine. She is a member of the group practice Spectrum Health Primary Care Partners and her current practice location is 4100 Lake Dr Se Ste 200, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-3759.

Dr Kelly Anne Waters is licensed to practice in Michigan (license number 4301104008) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821232455.

Contact Information

Dr Kelly Anne Waters, MD
4100 Lake Dr Se Ste 200,
Grand Rapids, MI 49546-8292
(616) 391-3759
(616) 391-3052

Map and Direction




Physician's Profile

Full NameDr Kelly Anne Waters
GenderFemale
SpecialitySleep Medicine
Experience15 Years
Location4100 Lake Dr Se Ste 200, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Anne Waters attended and graduated from New York University Medical College - Nlg in 2009
  NPI Data:
  • NPI Number: 1821232455
  • Provider Enumeration Date: 04/27/2009
  • Last Update Date: 02/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375767650
  • Enrollment ID: I20140605001965

Medical Identifiers

Medical identifiers for Dr Kelly Anne Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821232455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0012XInternal Medicine - Sleep Medicine 4301104008 (Michigan)Primary
2084S0012XPsychiatry & Neurology - Sleep Medicine 4301104008 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital
Holland Community HospitalHolland, MIHospital
Spectrum Health Zeeland Community HospitalZeeland, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spectrum Health Primary Care Partners45875686471590

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelly Anne Waters allows following entities to bill medicare on her behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Anne Waters is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelly Anne Waters, MD
100 Michigan St Ne, Mc 845,
Grand Rapids, MI 49503-2560

Ph: () -
Dr Kelly Anne Waters, MD
4100 Lake Dr Se Ste 200,
Grand Rapids, MI 49546-8292

Ph: (616) 391-3759

Reviews and Comments


Internal Medicine Doctors in Grand Rapids, MI

Maureen U Tan- Pedres, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503
Phone: 616-391-3139    Fax: 616-391-3044
Jeffery Allen Woo, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506
Phone: 616-459-3158    Fax: 616-988-0071
Robert W Selfe, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503
Phone: 616-267-8950    Fax: 616-267-8585
Dr. Erin Megan Pettijohn, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503
Phone: 616-685-5600    
Dr. Andrew Leo Sochacki, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546
Phone: 616-389-1800    
Aline De Quadros Teixeira, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-3139    
Stephanie F Williams, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503
Phone: 616-486-5933    Fax: 616-486-6489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.