KATARINA LESJAK WATERS APRN
NPI 1568552156
Nurse Practitioner in Salt Lake City, UT
Quality Rating: 100 out of 100 score
NPI Status: Active since October 13, 2006
Contact Information
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2267
- Individual
- Female
- Years of Experience 24
- Nurse Practitioner
- PECOS Enrolled
- Accepts Medicare Approved Payment
About KATARINA WATERS
Katarina Waters is a provider established in Salt Lake City, Utah and her medical specialization is Nurse Practitioner with more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1568552156 assigned on October 2006. The practitioner's primary taxonomy code is 363L00000X with license number 0262267-4405 (UT). The provider is registered as an individual and her NPI record was last updated 2 years ago.
NPI | 1568552156 |
Provider Name | KATARINA LESJAK WATERS APRN |
Location Address | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 |
Location Phone | (801) 581-2267 |
Mailing Address | PO BOX 413032 SALT LAKE CITY, UT 84141 |
Gender | Female |
Entity Type | Individual |
Medical School Name | OTHER |
Graduation Year | 2000 |
Is Sole Proprietor? | No |
Enumeration Date | 10-13-2006 |
Last Update Date | 12-16-2021 |
Code Navigator |
A nurse practitioner (NP) like Katarina Waters is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Katarina Waters is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $25.08 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0262267-4405
- License State
- UT
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Location Map
Mailing Address
PO BOX 413032
SALT LAKE CITY, UT
ZIP 84141
Phone: (801) 213-3900
Insurance Plans Accepted
The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
500024962 | OTHER (01) | UT | RAILROAD MEDICARE |
PECOS Enrollment and Medicare Participation Status
Katarina Waters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1456476696
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100913000244
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 84132 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.74
- Minimum New Patient Price $56.18
- Maximum New Patient Price $171.82
- Average New Patient Copayment $21.68
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.95
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.32
- Minimum Established Patient Price $17.3
- Maximum Established Patient Price $140.3
- Average Established Patient Copayment $25.08
- Minimum Established Patient Copayment $4.32
- Maximum Established Patient Copayment $35.07
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 100 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Katarina Waters is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 NORTH MEDICAL DRIVE SALT LAKE CITY, UT 84132 | (801) 581-2121 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 6 | 8 | 5 | 5 | 2 | 1 | 5 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 10 | 5 | 4 | 1 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 2 + 8 + 1 + 0 + 5 + 4 + 1 + 1 + 0 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1568552156 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1750388104 | MR. LONNIE DOYLE SMITH PHARMD Individual | Pharmacist (Pharmacotherapy) | 50 N MEDICAL DR RM PA455 SALT LAKE CITY, UT 84132 (801) 585-2641 |
1053302984 | DR. HEATHER ANNE NYMAN PHARMD Individual | Pharmacist | 50 N MEDICAL DR RM A050 SALT LAKE CITY, UT 84132 (801) 585-7649 |
1245219278 | MRS. PILAR LENGLET MAGOULAS MS, CGC Individual | Genetic Counselor, MS | 50 N MEDICAL DR SOM 2C412 SALT LAKE CITY, UT 84132 (801) 581-8943 |
1194794693 | TERESA WILLARD LCSW Individual | Social Worker (Clinical) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 585-2717 |
1518928621 | KRISTEN M RIES MD Individual | Internal Medicine (Infectious Disease) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 585-3203 |
1548218233 | DR. SARA ROBERTSON VAZQUEZ PHARM.D Individual | Pharmacist | 50 N MEDICAL DR ROOM 1R211 SALT LAKE CITY, UT 84132 (801) 585-3713 |
1811946619 | U-U HEMATOLOGY-ONCOLOGY DIVISION Organization | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1427007228 | MARGARET KER HUI YU M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1578513842 | JAMES P KUSHNER M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1649220948 | SCHICKWANN TSAI M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1174573323 | ROBERT A DENT P.A. Individual | Physician Assistant | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1467402628 | MALINDA KAYE HORTON P.N.P. Individual | Nurse Practitioner | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1063464360 | DR. CLAUDIA GOULSTON M.D. Individual | Internal Medicine (Infectious Disease) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1861444929 | ROBERTA Y WANG MD Individual | Obstetrics & Gynecology | 50 N MEDICAL DR SLC, UT 84132 (801) 581-2719 |
1134172042 | U-U NONINVASIVE VASCULAR LAB Organization | Surgery | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1528011327 | DR. WILLIAM R HOWELL M.B.B.CH. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
1871546697 | JODI FOLEY DAYTON MD Individual | Anesthesiology | 50 N MEDICAL DR SLC, UT 84132 (801) 581-6393 |
1104870807 | UNIVERSITY OF UTAH OB CARE NOW Organization | Advanced Practice Midwife | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 587-9500 |
1477507184 | UNIVERSITY OF UTAH HOSPITAL PROFESSIONAL SERVICES Organization | Genetic Counselor, MS | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 587-9500 |
1639123896 | PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH Organization | Pediatrics (Adolescent Medicine) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-3501 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568552156, enumerated in the NPI registry as an "individual" on October 13, 2006
The provider is located at 50 N Medical Dr Salt Lake City, Ut 84132 and the phone number is (801) 581-2267
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider has more than 24 years of experience.
The provider might be accepting Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $86.74 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $100.32 and an average copayment of 25.08. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): UNIVERSITY OF UTAH HOSPITALS AND CLINICS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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