ALISSA WATSON (APRN) – Nurse Practitioner, NPI 1174032155

ALISSA WATSON (APRN) is a healthcare provider. based in Glastonbury, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 00000 (CT). The NPI Number for ALISSA WATSON (APRN) is 1174032155

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA WATSON (APRN)
NPI
1174032155
Phone
(860) 633-1543
Address
210 NEW LONDON TPKE
Enumeration Date
22 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606331543
Graduation Year
2017 (9 years ago)
PAC ID
0244505204
Group Practice PAC ID
2769373372
Professional Enrollment ID
I20171002002492
Address ID
CT060332235GL210XXTPKE400

Contacts

Secure Messaging
awatson@dagdermdocs.ezderm.info
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for ALISSA WATSON (APRN)

  • 210, New London Turnpike, J. B. Williams Co. Historic District, Glastonbury Center, Glastonbury, Hartford County, Connecticut, 06033, United States

    GLASTONBURY, CT 060332235

    Phone: (860) 633-1543

    Fax: (860) 633-6040

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 167 Open Payments records for all available years, with a total value of $4,073.

Total Amount is formed as General ($4,073) + Research ($0) + Ownership ($0) = $4,073.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,109).

Total Amount

$4,073

General + Research + Ownership

Payments

167

Total payment records

General Amount

$4,073

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2017-10-02

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
I20171002002492INurse PractitionerCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes121112$0
17003Destruction of precancer skin growth, 2-14 growths6827$0
99214Established patient office or other outpatient visit, 30-39 minutes6660$0
17000Destruction of precancer skin growth, 1 growth6457$0
11102Biopsy of related skin growth, first growth5754$0
View full utilization report →

Insurance plans in this area (ZIP 06033)

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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: 2769373372View full group profile
NameSpecialtyState
D E R M A T O L O G YCT
Nurse PractitionerCT
Physician AssistantCT
D E R M A T O L O G YCT

Reviews

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Frequently asked questions

Is ALISSA WATSON (APRN) listed with a National Provider Identifier?
Yes — ALISSA WATSON (APRN) has NPI 1174032155 on file in the registry.
Is there an active status for ALISSA WATSON (APRN)?
For scheduling context, ALISSA WATSON (APRN) is shown as active in the registry.
What clinical focus is listed for ALISSA WATSON (APRN)?
At a glance, ALISSA WATSON (APRN) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with ALISSA WATSON (APRN)?
Directory geography for ALISSA WATSON (APRN) centers on Glastonbury, Connecticut.
Can I trust this NPI listing for ALISSA WATSON (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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