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

Katelyn Van de Water, CAA

Individual provider Anesthesiologist Assistant · NPI 1104476985

Katelyn Van de Water, CAA is an Anesthesiology Assistant in Fort Myers, Florida. Qualified in 2019, 7 years ago. Practices with Elyria Anesthesia Incorporated, a 64-clinician group and accepts Medicare assignment. Licensed in Florida.

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

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA544 (FL)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1104476985
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESOctober 2, 2019
Mailing address14935 Hawksmoor Run Cir, Orlando, FL 32828-7511

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Elyria Anesthesia Incorporated — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Myers