MR. SAMUEL H III WATSON (APRN) – Adult Health Nurse Practitioner, NPI 1588090583

MR. SAMUEL H III WATSON (APRN) is a healthcare provider. based in Oxford, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP9292369 (FL). The NPI Number for MR. SAMUEL H III WATSON (APRN) is 1588090583

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. SAMUEL H III WATSON (APRN)
NPI
1588090583
Phone
(352) 205-8981
Address
12109 COUNTY ROAD 103
Enumeration Date
23 September 2013
Last Update Date
4 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277856011
Graduation Year
2013 (13 years ago)
PAC ID
8022239417
Group Practice PAC ID
2163653585
Professional Enrollment ID
I20141029000088
Address ID
FL346956605SA1840XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MR. SAMUEL H III WATSON (APRN)

  • 12109 COUNTY ROAD 103

    OXFORD, FL 344842951

    Phone: (352) 205-8981

    Type: Mailing

  • 1840 MEASE DR STE 300

    SAFETY HARBOR, FL 346956605

    Phone: (727) 785-6011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $2,055.

Total Amount is formed as General ($2,055) + Research ($0) + Ownership ($0) = $2,055.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($249).

Total Amount

$2,055

General + Research + Ownership

Payments

95

Total payment records

General Amount

$2,055

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2014-10-29

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
I20141029000088INurse PractitionerFLTBD

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
81003Automated urinalysis test6965$0
99214Established patient office or other outpatient visit, 30-39 minutes5555$0
99213Established patient office or other outpatient visit, 20-29 minutes4945$0
51798Ultrasound measurement of bladder capacity after voiding2828$0
36415Insertion of needle into vein for collection of blood sample1414$0
View full utilization report →

Insurance plans in this area (ZIP 34484)

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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: 2163653585View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MR. SAMUEL H III WATSON (APRN)?
The federal identifier for MR. SAMUEL H III WATSON (APRN) is NPI 1588090583.
Is MR. SAMUEL H III WATSON (APRN) active in the national directory?
MR. SAMUEL H III WATSON (APRN)'s public NPI profile is in an active state.
Does MR. SAMUEL H III WATSON (APRN) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for MR. SAMUEL H III WATSON (APRN). Clinical services aligned with this taxonomy classification.
Where is MR. SAMUEL H III WATSON (APRN)'s primary listing?
We display Oxford, Florida because that is what the record indicates for MR. SAMUEL H III WATSON (APRN).
What if Oxford, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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