TIMOTHY R WATSON (FNP-C) – Family Nurse Practitioner, NPI 1003285461

TIMOTHY R WATSON (FNP-C) is a healthcare provider. based in Oxford, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 95003063 (CA). The NPI Number for TIMOTHY R WATSON (FNP-C) is 1003285461

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY R WATSON (FNP-C)
NPI
1003285461
Phone
(251) 604-9639
Address
11 CR 4091
Enumeration Date
16 September 2015
Last Update Date
23 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6624894345
Graduation Year
2015 (11 years ago)
PAC ID
6204123557
Group Practice PAC ID
6002895356
Professional Enrollment ID
I20160929002033
Address ID
MS388419604EC202XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for TIMOTHY R WATSON (FNP-C)

  • 11 CR 4091

    OXFORD, MS 38655

    Phone: (251) 604-9639

    Type: Mailing

  • ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR

    351 PEOPLES DR

    PONTOTOC, MS 38863

    Phone: (662) 489-2777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($68).

Total Amount

$170

General + Research + Ownership

Payments

8

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2016-09-29

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
I20160929002033INurse PractitionerMSTBD

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 38655)

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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: 6002895356View full group profile
NameSpecialtyState
Emergency MedicineCA
Nurse PractitionerMS
Family PracticeID
-MS
Family PracticeMS
Clinical Social WorkerMS
Emergency MedicineMS
Family Practice, General PracticeGA
Family PracticeMS
Emergency MedicineMS

Reviews

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Frequently asked questions

What NPI should I save for TIMOTHY R WATSON (FNP-C)?
Save NPI 1003285461 if you need a stable reference for TIMOTHY R WATSON (FNP-C).
Is TIMOTHY R WATSON (FNP-C) active in the national directory?
TIMOTHY R WATSON (FNP-C)'s public NPI profile is in an active state.
What field does TIMOTHY R WATSON (FNP-C) work in?
You can think of TIMOTHY R WATSON (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TIMOTHY R WATSON (FNP-C)?
We surface Oxford, Mississippi for TIMOTHY R WATSON (FNP-C) based on available NPPES addresses.
Is TIMOTHY R WATSON (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1003285461. Always confirm identity and privileges with the practice and licensing boards.

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