MR. JEROME BRADFIELD WATSON (GNP) – Nurse Practitioner, NPI 1538162045
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MR. JEROME BRADFIELD WATSON (GNP)
17218 Preston Rd Ste 2000
Dallas, TX 752524018
Phone: (877) 866-7123
Type: Location
7209 GOLDFINCH RD
TEXARKANA, TX 755010227
Phone: (903) 334-8132
Fax: (903) 334-8146
Type: Mailing
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: 2005-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040318000952 | I | Nurse Practitioner | AR | TBD |
| I20050922001173 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,103 | 576 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 765 | 506 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 506 | 103 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 339 | 53 | $0 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 263 | 49 | $0 |
Insurance plans in this area (ZIP 75252)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | AR | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| Clinical Psychologist | TX | |
| Clinical Social Worker | TX | |
| Clinical Psychologist | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX |
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