KIMBERLY ANN WATSON (NP-C) – Nurse Practitioner, NPI 1033844865

KIMBERLY ANN WATSON (NP-C) is a healthcare provider. based in Stillwater, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 206172 (OK). The NPI Number for KIMBERLY ANN WATSON (NP-C) is 1033844865

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN WATSON (NP-C)
NPI
1033844865
Phone
(918) 448-3636
Address
2016 E DUKE AVE
Enumeration Date
17 July 2022
Last Update Date
17 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803545000
Graduation Year
2021 (5 years ago)
PAC ID
9537530555
Group Practice PAC ID
6406800234
Professional Enrollment ID
I20230130000497
Address ID
OK735073002LA1515XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KIMBERLY ANN WATSON (NP-C)

  • 2016 E DUKE AVE

    STILLWATER, OK 740758290

    Phone: (918) 448-3636

    Type: Mailing

  • 19600 E ROSS ST

    TAHLEQUAH, OK 744640545

    Phone: (539) 234-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Medtronic, Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$39
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: 2023-01-30

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
I20230130000497INurse PractitionerTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes152148$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 74075)

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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: 6406800234View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
-OK
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyOK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK
-VA
-VA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIMBERLY ANN WATSON (NP-C)?
KIMBERLY ANN WATSON (NP-C) — NPI 1033844865 — is the standard way to identify this listing.
Is KIMBERLY ANN WATSON (NP-C) listed as active for patients and plans?
The listing shows KIMBERLY ANN WATSON (NP-C) as active in the NPI system.
What healthcare role does KIMBERLY ANN WATSON (NP-C) hold?
Scheduling teams often label KIMBERLY ANN WATSON (NP-C) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY ANN WATSON (NP-C) based?
KIMBERLY ANN WATSON (NP-C) is tied to Stillwater, Oklahoma 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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