ANGELA LAVERNE WATKINS – Nurse Practitioner, NPI 1295371649
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANGELA LAVERNE WATKINS
17030 CARRIAGE WAY
NORTHVILLE, MI 481686602
Phone: (313) 949-2620
Type: Mailing
22250 PROVIDENCE DR STE 406
SOUTHFIELD, MI 480756212
Phone: (248) 557-9010
Fax: (248) 557-3655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Ascendis Pharma Inc ($58).
Total Amount
$100
General + Research + Ownership
Payments
5
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ascendis Pharma Inc | $58 |
| Calliditas Therapeutics US Inc. | $22 |
| OPKO Pharmaceuticals, LLC | $19 |
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: 2020-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200304002338 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 22 | 16 | $0 |
Insurance plans in this area (ZIP 48168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MI | |
| Nephrology, Internal Medicine | MI | |
| Nephrology, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nephrology, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nephrology, Internal Medicine | MI | |
| Nephrology, Internal Medicine | MI |
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