AMANDA MARIE WATSON (FNP-BC) – Family Nurse Practitioner, NPI 1720585235

AMANDA MARIE WATSON (FNP-BC) is a healthcare provider. based in Bristol, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 10.106646 (CT). The NPI Number for AMANDA MARIE WATSON (FNP-BC) is 1720585235

Main info

Female
9 Years Of Experience
Name
AMANDA MARIE WATSON (FNP-BC)
NPI
1720585235
Phone
(860) 877-3157
Address
224 CROWN ST
Enumeration Date
11 April 2018
Last Update Date
11 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037327573
Graduation Year
2017 (9 years ago)
PAC ID
0143744128
Group Practice PAC ID
8628169539
Professional Enrollment ID
I20250411001144
Address ID
CT064181326DE130XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for AMANDA MARIE WATSON (FNP-BC)

  • 224, Crown Street, Bristol, Hartford County, Connecticut, 06010, United States

    BRISTOL, CT 060106125

    Phone: (860) 877-3157

    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)

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: 2025-04-11

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
I20250411001144INurse 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.

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

Insurance plans in this area (ZIP 06010)

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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: 8628169539View full group profile
NameSpecialtyState
Nurse PractitionerCT
-CT
Pulmonary Disease, Critical Care (Intensivists)CT

Reviews

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Frequently asked questions

Where can patients find AMANDA MARIE WATSON (FNP-BC)'s NPI?
You can confirm AMANDA MARIE WATSON (FNP-BC) with NPI 1720585235; it appears in the national provider directory.
Is AMANDA MARIE WATSON (FNP-BC) currently active in the NPI registry?
CMS-published data lists AMANDA MARIE WATSON (FNP-BC) as an active registrant.
What does AMANDA MARIE WATSON (FNP-BC) treat or focus on?
Patients typically see AMANDA MARIE WATSON (FNP-BC) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place AMANDA MARIE WATSON (FNP-BC)?
The snapshot lists Bristol, Connecticut for AMANDA MARIE WATSON (FNP-BC); download NPPES for the complete set.
What if Bristol, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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