JOY M WATSON (PA) – Physician Assistant, NPI 1083668461

JOY M WATSON (PA) is a healthcare provider. based in Peoria, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001638 (IA). The NPI Number for JOY M WATSON (PA) is 1083668461

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JOY M WATSON (PA)
NPI
1083668461
Phone
(309) 674-7546
Address
4909 N GLEN PARK PLACE RD
Enumeration Date
20 May 2006
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7084823213
Graduation Year
2004 (22 years ago)
PAC ID
6507891926
Group Practice PAC ID
7113830951
Professional Enrollment ID
I20211008001969
Address ID
IL605256538LA5201XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Loading map...

Provider Addresses for JOY M WATSON (PA)

  • 4909, North Glen Park Pl Road, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 616144676

    Phone: (309) 674-7546

    Type: Mailing

  • 5201 WILLOW SPRINGS RD STE 430

    LA GRANGE HIGHLANDS, IL 605256538

    Phone: (708) 482-3213

    Type: Mailing

  • 103 S GREENLEAF ST STE J

    GURNEE, IL 600313380

    Phone: (847) 662-8201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 255 Open Payments records for all available years, with a total value of $5,659.

Total Amount is formed as General ($5,659) + Research ($0) + Ownership ($0) = $5,659.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($821).

Total Amount

$5,659

General + Research + Ownership

Payments

255

Total payment records

General Amount

$5,659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-10-08

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
I20051004000693IPhysician AssistantIATBD
I20211008001969IPhysician AssistantILTBD

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 minutes338188$0
17003Destruction of precancer skin growth, 2-14 growths27954$0
99214Established patient office or other outpatient visit, 30-39 minutes13482$0
17000Destruction of precancer skin growth, 1 growth10976$0
11102Biopsy of related skin growth, first growth9080$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

Loading plans...

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: 7113830951View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YIL
P A T H O L O G YIL
Nurse PractitionerWI
Nurse PractitionerIL
-IL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
Nurse PractitionerIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is JOY M WATSON (PA)'s NPI number?
JOY M WATSON (PA)'s NPI is 1083668461 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOY M WATSON (PA)?
For scheduling context, JOY M WATSON (PA) is shown as active in the registry.
What kind of doctor is JOY M WATSON (PA)?
JOY M WATSON (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is JOY M WATSON (PA) registered?
Use Peoria, Illinois as the headline location for JOY M WATSON (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MR. KEVIN SNOW (PA-C)

Physician Assistant
OSF Healthcare Orthopaedics in conjuction with Great Plains Orthopaedics, 303, North William Kumpf Boulevard, Peoria, Peoria County, Illinois, 61605, United States
NPI: 1275533317

SHARON AYCOCK (PA-C)

Physician Assistant
Pennsylvania Medical Office Building, 200, East Pennsylvania Avenue, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61603, United States
NPI: 1104813997

LISA K NIELSEN (PA-C)

Physician Assistant
North Knoxville Avenue, Keller, Peoria, Peoria County, Illinois, 61615, United States
NPI: 1982688669
2214, North University Street, Peoria, Peoria County, Illinois, 61604, United States
NPI: 1487639118

MR. KIM KEITH WIESE (PA-C)

Physician Assistant
1524, West Glen Avenue, Metro West, Peoria, Peoria County, Illinois, 61614, United States
NPI: 1801866744

Unknown Individual

Physician Assistant
North Knoxville Avenue, Keller, Peoria, Peoria County, Illinois, 61615, United States
NPI: 1649241373
5114, North Glen Park Pl Road, Peoria, Peoria County, Illinois, 61614, United States
NPI: 1851363022
OSF Healthcare Orthopaedics in conjuction with Great Plains Orthopaedics, 303, North William Kumpf Boulevard, Peoria, Peoria County, Illinois, 61605, United States
NPI: 1881662385

CHRIS WADE (PA-C)

Physician Assistant
21276 NETWORK PL
NPI: 1568425924