MRS. SUSAN LEE WATKINS (FNP) – Family Nurse Practitioner, NPI 1790774537

MRS. SUSAN LEE WATKINS (FNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 200350114NP FNP PP (OR). The NPI Number for MRS. SUSAN LEE WATKINS (FNP) is 1790774537

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN LEE WATKINS (FNP)
NPI
1790774537
Phone
(503) 214-5200
Address
11782 SW BARNES RD
Enumeration Date
14 October 2005
Last Update Date
11 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416228900
Graduation Year
2003 (23 years ago)
PAC ID
1951204700
Group Practice PAC ID
3779972161
Professional Enrollment ID
I20040129000228
Address ID
OR975048520ME707XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for MRS. SUSAN LEE WATKINS (FNP)

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 300

    PORTLAND, OR 972255914

    Phone: (503) 214-5200

    Fax: (503) 906-6613

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-29

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
I20040129000228INurse PractitionerORTBD

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
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg1,35016$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg32850$0
99213Established patient office or other outpatient visit, 20-29 minutes134127$0
20610Aspiration and/or injection of fluid from large joint10158$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 97225)

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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: 3779972161View full group profile
NameSpecialtyState
Orthopedic SurgeryOR
Physician AssistantOR
Orthopedic SurgeryUT
Physician AssistantOR
Orthopedic SurgeryWI
Physician AssistantOR
Physical Therapist In Private PracticeOR
Nurse PractitionerOR
Orthopedic SurgeryOR

Reviews

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Frequently asked questions

Where can patients find MRS. SUSAN LEE WATKINS (FNP)'s NPI?
You can confirm MRS. SUSAN LEE WATKINS (FNP) with NPI 1790774537; it appears in the national provider directory.
Does this profile mean MRS. SUSAN LEE WATKINS (FNP) is currently active?
Yes — MRS. SUSAN LEE WATKINS (FNP) appears active in the national provider directory.
What does MRS. SUSAN LEE WATKINS (FNP) treat or focus on?
Patients typically see MRS. SUSAN LEE WATKINS (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. SUSAN LEE WATKINS (FNP)'s primary listing?
We display Portland, Oregon because that is what the record indicates for MRS. SUSAN LEE WATKINS (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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