KELLY DENISE WATSON (CRNP) – Family Nurse Practitioner, NPI 1891018362

KELLY DENISE WATSON (CRNP) is a healthcare provider. based in Birmingham, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-110635 (AL). The NPI Number for KELLY DENISE WATSON (CRNP) is 1891018362

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLY DENISE WATSON (CRNP)
NPI
1891018362
Phone
(205) 279-2860
Address
PO BOX 55845
Enumeration Date
11 March 2010
Last Update Date
15 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2568286766
Graduation Year
2009 (17 years ago)
PAC ID
4183754062
Group Practice PAC ID
3971657818
Professional Enrollment ID
I20100621000297
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY DENISE WATSON (CRNP)

  • Cadbury, Bournville, Stirchley, Birmingham, West Midlands, England, B30 2LU, United Kingdom

    BIRMINGHAM, AL 352555845

    Phone: (205) 279-2860

    Fax: (205) 252-0197

    Type: Mailing

  • Cooper Green Mercy Health Services, 1515, 6th Avenue South, Automotive Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331601

    Phone: (205) 279-2860

    Fax: (205) 252-0197

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Novo Nordisk Inc ($50).

Total Amount

$103

General + Research + Ownership

Payments

6

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100621000297INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35255)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971657818View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL
-AL
Nurse PractitionerTN
Internal MedicineCA
Family PracticeFL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What NPI should I save for KELLY DENISE WATSON (CRNP)?
Save NPI 1891018362 if you need a stable reference for KELLY DENISE WATSON (CRNP).
Is KELLY DENISE WATSON (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KELLY DENISE WATSON (CRNP) treat or focus on?
Patients typically see KELLY DENISE WATSON (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KELLY DENISE WATSON (CRNP)'s primary listing?
We display Birmingham, Alabama because that is what the record indicates for KELLY DENISE WATSON (CRNP).
What if Birmingham, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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