Watertown Regional Medical Center – General Acute Care Hospital, NPI 1992776041

Watertown Regional Medical Center is a healthcare provider. based in Louisville, Kentucky. specializing in General Acute Care Hospital. The NPI Number for Watertown Regional Medical Center is 1992776041

Main info

Organization
Name
Watertown Regional Medical Center
NPI
1992776041
Phone
(502) 596-6063
Address
680 S 4TH ST
Authorized Official
JOHNETTA TRAYLOR AO
Enumeration Date
27 January 2006
Last Update Date
25 June 2025

Contacts

Secure Messaging
health.information@direct.watertownregional.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness100
Years active:20State licenses:07/7 NPPES fields on file

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Provider Addresses for Watertown Regional Medical Center

  • 680 S 4TH ST

    LOUISVILLE, KY 402022407

    Phone: (502) 596-6063

    Type: Mailing

  • Watertown Regional Medical Center, 125, Hospital Drive, Watertown, Dodge County, Wisconsin, 53098, United States

    WATERTOWN, WI 530983303

    Phone: (920) 261-4210

    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.

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: 2015-10-05

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
O20151005000894OHospitalWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40202)

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Reviews

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Frequently asked questions

What NPI should I save for Watertown Regional Medical Center?
Save NPI 1992776041 if you need a stable reference for Watertown Regional Medical Center.
Is Watertown Regional Medical Center's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize Watertown Regional Medical Center's specialty in plain language?
Clinically, the directory lists Watertown Regional Medical Center with General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
What location metadata exists for Watertown Regional Medical Center?
The page summarizes Louisville, Kentucky for Watertown Regional Medical Center; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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