LISA M. WATSON – Nurse Practitioner, NPI 1982797254

LISA M. WATSON is a healthcare provider. based in Pontiac, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041217560/209002332 (IL). The NPI Number for LISA M. WATSON is 1982797254

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
LISA M. WATSON
NPI
1982797254
Phone
(815) 844-6123
Address
1506 W REYNOLDS ST
Enumeration Date
1 October 2006
Last Update Date
28 February 2011

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8158442001
Graduation Year
1990 (36 years ago)
PAC ID
8022116961
Group Practice PAC ID
0648187252
Professional Enrollment ID
I20070531000206
Address ID
IL617649774PO2500XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,703 NURSE PRACTITIONER in IL

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Provider Addresses for LISA M. WATSON

  • 1506, West Reynolds Street, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 61764

    Phone: (815) 844-6123

    Fax: (815) 844-7851

    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 1 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: ATRICURE, INC. ($197).

Total Amount

$197

General + Research + Ownership

Payments

1

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$197
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: 2007-05-31

PECOS data refreshed: 2026-06-15

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
I20070531000206INurse PractitionerILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5349$0
36415Insertion of needle into vein for collection of blood sample2019$0
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 61764)

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Provider's Procedures

LISA M. WATSON performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIL90670Pneumococcal vaccine for injection into muscle1818

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: 0648187252View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology), Internal MedicineIL

Reviews

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Frequently asked questions

What unique ID ties claims to LISA M. WATSON?
NPI 1982797254 is assigned to LISA M. WATSON under the national enumeration system.
Is LISA M. WATSON active in the national directory?
LISA M. WATSON's public NPI profile is in an active state.
Can you summarize LISA M. WATSON's specialty in plain language?
Clinically, the directory lists LISA M. WATSON with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LISA M. WATSON's primary listing?
We display Pontiac, Illinois because that is what the record indicates for LISA M. WATSON.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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