JOANNA BURNETT WATTERSON (MD) – Emergency Medicine Physician, NPI 1033799242

JOANNA BURNETT WATTERSON (MD) is a healthcare provider. based in Fresno, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A194256 (CA). The NPI Number for JOANNA BURNETT WATTERSON (MD) is 1033799242

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA BURNETT WATTERSON (MD)
NPI
1033799242
Phone
(559) 443-2682
Address
2625 E DIVISADERO ST
Enumeration Date
12 April 2021
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5594596000
Graduation Year
2021 (5 years ago)
PAC ID
7315489002
Group Practice PAC ID
6507181708
Professional Enrollment ID
I20240610002091
Address ID
CA937211324FR2823XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

Provider Addresses for JOANNA BURNETT WATTERSON (MD)

  • 2625 E DIVISADERO ST

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Mailing

  • 2823 FRESNO ST

    FRESNO, CA 937211324

    Phone: (559) 459-6000

    Type: Location

  • UNIVERSITY OF NEW MEXICO HOSPITAL

    ALBUQUERQUE, NM 871310001

    Phone: (505) 272-2111

    Type: Location

  • 1 UNIVERSITY OF NEW MEXICO

    MSC11 6025

    ALBUQUERQUE, NM 871310001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240610002091IEmergency MedicineCATBD
I20250627001821IEmergency MedicineCOTBD

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 93721)

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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: 6507181708View full group profile

Reviews

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Frequently asked questions

What is the registry number for JOANNA BURNETT WATTERSON (MD)?
The registry entry for JOANNA BURNETT WATTERSON (MD) shows NPI 1033799242.
Is JOANNA BURNETT WATTERSON (MD)'s NPI status active today?
Active status means JOANNA BURNETT WATTERSON (MD)'s NPI record is not deactivated in the public file.
What type of care does JOANNA BURNETT WATTERSON (MD) provide?
JOANNA BURNETT WATTERSON (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JOANNA BURNETT WATTERSON (MD) in Fresno, California?
For routing, start with Fresno, California for JOANNA BURNETT WATTERSON (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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