NICOLE LYNN WATSON (CRNA) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063841971

NICOLE LYNN WATSON (CRNA) is a healthcare provider. based in Ashburn, Virginia. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials CRNA. They hold a License No. 0024171495 (VA). The NPI Number for NICOLE LYNN WATSON (CRNA) is 1063841971

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LYNN WATSON (CRNA)
NPI
1063841971
Phone
(703) 857-2560
Address
44355 Premier Plz Ste 210
Enumeration Date
1 November 2013
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033529395
Graduation Year
2013 (13 years ago)
PAC ID
1850523713
Group Practice PAC ID
6800790023
Professional Enrollment ID
I20140409000357
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:12State licenses:4Digital endpointsOther names

Provider Addresses for NICOLE LYNN WATSON (CRNA)

  • 44355 Premier Plz Ste 210

    Ashburn, VA 201475050

    Phone: (703) 857-2560

    Fax: (703) 988-7530

    Type: Location

  • 3100 SPRING FOREST RD

    SUITE 130

    RALEIGH, NC 276162880

    Phone: (919) 882-0705

    Fax: (919) 873-9821

    Type: Mailing

  • 3300 GALLOWS RD

    FALLS CHURCH, VA 220423307

    Phone: (703) 776-3138

    Type: Location

  • 4200B TECHNOLOGY CT

    CHANTILLY, VA 201511214

    Phone: (703) 988-3984

    Fax: (703) 988-7530

    Type: Location

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.

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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: 2025-11-22

PECOS data refreshed: 2026-05-27

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 20147)

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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: 6800790023View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
-MI
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)VA
-NC
-NC
-VA

Reviews

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Frequently asked questions

Can I cross-check NICOLE LYNN WATSON (CRNA) using NPI 1063841971?
NPI 1063841971 belongs to NICOLE LYNN WATSON (CRNA); compare other details if you need extra assurance.
Is NICOLE LYNN WATSON (CRNA) still an active registrant?
NICOLE LYNN WATSON (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to NICOLE LYNN WATSON (CRNA)?
NICOLE LYNN WATSON (CRNA)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE LYNN WATSON (CRNA)?
Directory geography for NICOLE LYNN WATSON (CRNA) centers on Ashburn, Virginia.
When was this NPI issued?
Enumeration for NICOLE LYNN WATSON (CRNA) is noted as November 1, 2013 where the registry provides it.

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