Ms Shelly Nolen Waters, FNPC | |
668 W Brazos Ave, West Columbia, TX 77486-2616 | |
(979) 345-2525 | |
Not Available |
Full Name | Ms Shelly Nolen Waters |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 668 W Brazos Ave, West Columbia, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558553495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 604695 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ies Hospitalists Pllc | 4486041472 | 20 |
Integrative Emergency Services Physician Group-houston Pllc | 7113258500 | 126 |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
Entity Name | Ies Hospitalists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194483933 PECOS PAC ID: 4486041472 Enrollment ID: O20220421000670 |
Mailing Address | Practice Location Address |
---|---|
Ms Shelly Nolen Waters, FNPC 100 Medical Drive, Lake Jackson, TX 77566 Ph: (979) 299-2870 | Ms Shelly Nolen Waters, FNPC 668 W Brazos Ave, West Columbia, TX 77486-2616 Ph: (979) 345-2525 |
Laura M Pena, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 W Brazos Ave, West Columbia, TX 77486 Phone: 979-345-2525 | |
Ms. Lisa Marie Schaubroeck, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 668 W Brazos Ave, West Columbia, TX 77486 Phone: 979-345-2525 | |
Tincy Thomas, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 S Columbia Dr, West Columbia, TX 77486 Phone: 979-345-6522 |