MARY JO WATTS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1427166040

MARY JO WATTS (CRNA) is a healthcare provider. based in San antonio, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 794938 (TX). The NPI Number for MARY JO WATTS (CRNA) is 1427166040

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARY JO WATTS (CRNA)
NPI
1427166040
Phone
(210) 375-7990
Address
45 NE LOOP 410 STE 900
Enumeration Date
25 August 2006
Last Update Date
6 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107038801
Graduation Year
2002 (24 years ago)
PAC ID
0244208064
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20111221000374
Address ID
TX782514498SA11212151X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for MARY JO WATTS (CRNA)

  • 45 NE LOOP 410 STE 900

    SAN ANTONIO, TX 782165831

    Phone: (210) 375-7990

    Type: Location

  • Vantage Bank, 45, Northeast Loop 410, San Antonio, Bexar County, Texas, 78216, United States

    STE 900

    SAN ANTONIO, TX 782165831

    Phone: (210) 375-7790

    Type: Mailing

  • 403 TREELINE PARK

    SAN ANTONIO, TX 782092042

    Phone: (210) 294-8000

    Type: Location

  • 1245 PRAIRIE BND STE 900

    NEW BRAUNFELS, TX 781322966

    Phone: (757) 813-7988

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$28
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: 2011-12-21

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
I20111221000374ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
01402Anesthesia for procedure for total knee joint replacement1919$0
View full utilization report →

Insurance plans in this area (ZIP 78216)

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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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How is MARY JO WATTS (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MARY JO WATTS (CRNA) with NPI 1427166040.
Is MARY JO WATTS (CRNA) still practicing?
MARY JO WATTS (CRNA) is currently listed as active in the public NPI registry.
What taxonomy line describes MARY JO WATTS (CRNA)?
For research purposes, treat MARY JO WATTS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARY JO WATTS (CRNA) on a map?
Expect San Antonio, Texas as a primary anchor for MARY JO WATTS (CRNA) unless the record lists multiple sites.
Why does MARY JO WATTS (CRNA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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