Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maureen Waters

Individual provider Physician Assistant · NPI 1962047290

Maureen Waters is a Physician Assistant in Wynnewood, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
7
Licensed in
NY, PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

100 E Lancaster Ave Ste 375 Medical Science Bldg
Wynnewood, PA 19096-3433
Phone: (610) 645-9093
Fax: (610) 645-9476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 10th Ave, New York, NY 10019-1147 — (610) 781-4682

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA066467 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 024441 (NY)

Record details

NPI number1962047290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wynnewood