JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316562499

JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) is a healthcare provider. based in Newburgh, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, BSN, MSN, PMHNP. They hold a License No. 71010207A (IN). The NPI Number for JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) is 1316562499

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP)
NPI
1316562499
Phone
(812) 589-9350
Address
5566 WHITEGATE CT
Enumeration Date
14 June 2020
Last Update Date
2 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124237791
Graduation Year
2020 (6 years ago)
PAC ID
3678990892
Group Practice PAC ID
7315842309
Professional Enrollment ID
I20200902000224
Address ID
IN477131230EV415XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP)

  • 5566 WHITEGATE CT

    NEWBURGH, IN 476308274

    Phone: (812) 589-9350

    Type: Mailing

  • 410 Mulberry St

    Evansville, IN 477131231

    Phone: (812) 423-7791

    Type: Location

  • 415 MULBERRY ST

    EVANSVILLE, IN 477131230

    Phone: (812) 423-7791

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $18,719.

Total Amount is formed as General ($18,719) + Research ($0) + Ownership ($0) = $18,719.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Alkermes, Inc. ($18,719).

Total Amount

$18,719

General + Research + Ownership

Payments

33

Total payment records

General Amount

$18,719

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$18,719
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: 2020-09-02

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
I20200902000224INurse PractitionerINTBD

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 47630)

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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: 7315842309View full group profile
NameSpecialtyState
Clinical Social WorkerIN
-IN
Nurse PractitionerME
Nurse PractitionerIN
Nurse PractitionerIN
Mental Health CounselorKY
Clinical Social WorkerIN
Clinical Social WorkerIN
P S Y C H I A T R YIN
Clinical Social WorkerIN

Reviews

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Frequently asked questions

What is the standard ID for JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) in the U.S.?
In the U.S., JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) is identified by NPI 1316562499.
Should I treat JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) as an active provider?
Patients and plans typically see JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) as active in the national extract.
What services align with JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP)'s listing?
JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP)?
JOHN DOUGLAS WATHEN (RN, BSN, MSN, PMHNP) shows a connection to Newburgh, Indiana in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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