MRS. COLLEEN ELIZABETH WATTERS (FNP) – Family Nurse Practitioner, NPI 1356620165

MRS. COLLEEN ELIZABETH WATTERS (FNP) is a healthcare provider. based in Springfield, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 6593 (CT). The NPI Number for MRS. COLLEEN ELIZABETH WATTERS (FNP) is 1356620165

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. COLLEEN ELIZABETH WATTERS (FNP)
NPI
1356620165
Phone
(413) 794-5700
Address
280 CHESTNUT ST
Enumeration Date
10 August 2011
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603805150
Graduation Year
2011 (15 years ago)
PAC ID
2668644659
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20160926000136
Address ID
CT060022256BL30XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. COLLEEN ELIZABETH WATTERS (FNP)

  • 280 CHESTNUT ST

    2ND FLOOR

    SPRINGFIELD, MA 011991619

    Phone: (413) 794-5700

    Type: Mailing

  • 3300 MAIN ST

    2ND FLOOR, SUITE A

    SPRINGFIELD, MA 011991619

    Phone: (413) 794-7246

    Fax: (413) 794-0198

    Type: Location

  • 74 Mack St Ste 4

    Windsor, CT 060952759

    Phone: (860) 380-5150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($177).

Total Amount

$396

General + Research + Ownership

Payments

18

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

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: 2016-09-26

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
I20160926000136INurse PractitionerCTTBD

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 minutes13881$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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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: 3173866241View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
-CT
Internal MedicineCT
Internal MedicineCT
Nurse PractitionerCT
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CT

Reviews

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Frequently asked questions

What is MRS. COLLEEN ELIZABETH WATTERS (FNP)'s NPI number?
MRS. COLLEEN ELIZABETH WATTERS (FNP)'s NPI is 1356620165 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MRS. COLLEEN ELIZABETH WATTERS (FNP)?
For scheduling context, MRS. COLLEEN ELIZABETH WATTERS (FNP) is shown as active in the registry.
What expertise is attributed to MRS. COLLEEN ELIZABETH WATTERS (FNP)?
MRS. COLLEEN ELIZABETH WATTERS (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. COLLEEN ELIZABETH WATTERS (FNP) associated with Springfield?
Public fields place MRS. COLLEEN ELIZABETH WATTERS (FNP) around Springfield, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. COLLEEN ELIZABETH WATTERS (FNP) is noted as August 10, 2011 where the registry provides it.

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