CAM TU TRAN WATKIN (NP) – Primary Care Nurse Practitioner, NPI 1104530856

CAM TU TRAN WATKIN (NP) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 862576 (NV). The NPI Number for CAM TU TRAN WATKIN (NP) is 1104530856

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CAM TU TRAN WATKIN (NP)
NPI
1104530856
Phone
(808) 258-3875
Address
6786 CAVATINA AVE
Enumeration Date
9 January 2023
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028699200
Graduation Year
2022 (4 years ago)
PAC ID
9234594433
Group Practice PAC ID
4183891294
Professional Enrollment ID
I20230421001881
Address ID
NV891280446LA3150XWAYX401
Telehealth
Yes

Contacts

Other Endpoint
Tutu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

2,947 NURSE PRACTITIONER in NV

Provider Addresses for CAM TU TRAN WATKIN (NP)

  • 6786 CAVATINA AVE

    LAS VEGAS, NV 891396776

    Phone: (808) 258-3875

    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 4 Open Payments records for all available years, with a total value of $367.

Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Abbott Laboratories ($227).

Total Amount

$367

General + Research + Ownership

Payments

4

Total payment records

General Amount

$367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-04-21

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
I20230421001881INurse PractitionerNVTBD

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 89139)

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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: 4183891294View full group profile
NameSpecialtyState
Internal MedicineNV
P O D I A T R YNV
Nurse PractitionerNV
Nurse PractitionerID
Nurse PractitionerNV
-NV
Nurse PractitionerNV
Nurse PractitionerNV
Internal MedicineNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

How is CAM TU TRAN WATKIN (NP) identified in CMS data?
CMS-hosted NPPES data lists CAM TU TRAN WATKIN (NP) with NPI 1104530856.
Can I rely on CAM TU TRAN WATKIN (NP) being an active provider?
As of the registry snapshot, CAM TU TRAN WATKIN (NP) is marked active.
What is CAM TU TRAN WATKIN (NP)'s primary classification?
Primary Care Nurse Practitioner is the headline specialty for CAM TU TRAN WATKIN (NP) here. Clinical services aligned with this taxonomy classification.
Where is CAM TU TRAN WATKIN (NP) based?
CAM TU TRAN WATKIN (NP) is tied to Las Vegas, Nevada in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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