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
Mailing address3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336

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