Katelyn Van De Water, CAA
NPI 1104476985ActiveIndividual· Anesthesiologist Assistant· Fort Myers, FL
Anesthesiologist Assistant (CAA) with Elyria Anesthesia Incorporated, practicing in Fort Myers, Florida. Medicare paid $11,854 for services to 129 patients in 2024. Lists Mercy Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1104476985 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | Sep 13, 2019 |
| Last updated in NPPES | Oct 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | AA544 | FL |
| Anesthesiologist Assistant | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (FL); Practitioner - Anesthesiology Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 129 |
|---|---|
| Services billed | 129 across 44 procedure codes |
| Paid by Medicare | $11,854 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Elyria Anesthesia IncorporatedLorain, OH · 67 clinicians
Hospital affiliation
- Mercy Regional Medical CenterLorain, OH
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