HOLLY A WATSON (MMS, PA-C) – Physician Assistant, NPI 1376163592
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for HOLLY A WATSON (MMS, PA-C)
5800 E Lake Dr Apt 615
Lisle, IL 605324607
Phone: (765) 480-8887
Type: Location
5800 E LAKE DR APT 615
LISLE, IL 605324607
Phone: (765) 480-8887
Type: Mailing
714 E 50TH ST
INDIANAPOLIS, IN 462051108
Phone: (765) 480-8887
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $209.
Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($73).
Total Amount
$209
General + Research + Ownership
Payments
9
Total payment records
General Amount
$209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $73 |
| Amgen Inc. | $46 |
| Alexion Pharmaceuticals, Inc. | $25 |
| Novartis Pharmaceuticals Corporation | $23 |
| GlaxoSmithKline, LLC. | $22 |
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: 2022-03-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220321001617 | I | Physician Assistant | IN | TBD |
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.
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 60532)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | IN | |
| R H E U M A T O L O G Y | IN |
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.