Active NPI 1699211631 Individual Practitioner Female Practitioner

Jacquelyn E Van Waters , NP-C

Nurse Practitioner • Paducah, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacquelyn Van Waters, NP-C is a certified Nurse Practitioner practicing in Paducah, KY. With approximately 10 years of clinical experience since completing medical education in 2016, Jacquelyn Van Waters delivers high-quality medical care to the local community at 2670 NEW HOLT RD STE C.

Jacquelyn Van Waters is affiliated with Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, ceftriaxone sodium, per 250 mg, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2670 New Holt Rd Ste C

Paducah, KY 420017506

Telephone 2705751010

Fax 2705751007

Associated Practice Facility / Clinic

🏢 Cecil Clinic, Pllc Facility NPI 1831448679

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Paducah, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +0.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

46 Specialists

Practicing in Paducah, KY (1865 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Waters (10 Years) 10 Yrs

Paducah Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	49	$243.00	$102.49
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$172.00	$73.36
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$3.00	$0.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$248.00	$107.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	13	$40.00	$11.48
96127 Assessment of emotional or behavioral problems	13	13	$24.00	$3.84
G0008 Administration of influenza virus vaccine	12	12	$60.50	$29.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	160	19	$3.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	56	$243.00	$100.33
99213 Established patient office or other outpatient visit, typically 15 minutes	67	58	$172.00	$69.84
J0696 Injection, ceftriaxone sodium, per 250 mg	52	12	$3.00	$0.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$248.00	$103.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	16	$40.00	$11.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	192	22	$3.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	119	$214.52	$101.86
99213 Established patient office or other outpatient visit, typically 15 minutes	116	105	$147.59	$73.05
J0696 Injection, ceftriaxone sodium, per 250 mg	68	17	$3.00	$0.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	31	$39.17	$11.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$233.81	$105.42
G0008 Administration of influenza virus vaccine	20	20	$56.00	$26.94
90662 Influenza vaccine split virus, preservative free	16	16	$138.25	$64.26
81003 Automated urinalysis test	12	12	$7.50	$2.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$296.33	$146.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	216	25	$3.00	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	78	$202.00	$103.31
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$137.00	$73.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	23	$40.00	$11.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$219.00	$103.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$202.00	$89.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$160.00	$79.28
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$108.00	$43.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$108.00	$46.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	128	16	$4.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	65	62	$108.00	$54.67
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$10.00	$0.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$160.00	$75.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	19	$66.00	$16.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$161.00	$86.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	15	15	$932.47	$96.35
99285 Emergency department visit for life threatening or functioning severity	13	13	$1370.46	$142.27

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3011205

(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.

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

2670 New Holt Rd, Paducah, KY 420017506

Phone: 2705751010

Baptist Health Medical Group Inc

2601 Kentucky Ave, Paducah, KY 420033817

Phone: 2704157653

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Christy Overstreet , APRN

Nurse Practitioner - Family

NPI 1164838975

Advanced Practice Registered Nurse

Jacquelyn Koepp , APRN, FNP-C

Nurse Practitioner - Family

NPI 1215491501

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Caitlyn Cecil , MD

Pediatrics

NPI 1225471782

Doctor of Medicine (M.D.)

Eva Lock , APRN

Nurse Practitioner - Family

NPI 1275904625

Advanced Practice Registered Nurse

Laken Lasher , APRN

Nurse Practitioner - Family

NPI 1396315859

Advanced Practice Registered Nurse

Lindsay Martin , ARNP

Nurse Practitioner

NPI 1790930709

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active July 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2017

Registered at 2670 NEW HOLT RD STE C, PADUCAH, KY 420017506 (Tel: 2705751010)

📍

Updated Business Mailing Address July 18, 2017

Registered at 607 MINTER RD, SYMSONIA, KY 420829402 (Tel: (270) 703-9095)

👤

Provider Name / Credentials Updated July 18, 2017

Recorded as JACQUELYN VAN WATERS, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2017

Nurse Practitioner (License #3011205 in KY)

✅

NPI Profile Active January 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2017

Registered at 607 MINTER RD, SYMSONIA, KY 420829402 (Tel: 2707039095)

📍

Updated Business Mailing Address January 15, 2017

Registered at 607 MINTER RD, SYMSONIA, KY 420829402 (Tel: 2707039095)

👤

Provider Name / Credentials Updated January 15, 2017

Recorded as JACQUELYN VAN WATERS, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2017

Nurse Practitioner (License #UNKNOWN in KY)

🟢

Initial NPI Registration & Enumeration January 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699211631

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 15, 2017

Last Update: July 21, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

607 Minter Rd

Symsonia, KY 420829402

Phone: 2707039095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.