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LACI WATSON NP
NPI 1053847509
Nurse Practitioner - Family in Springfield, IL

Active since May 03, 2017PECOS Enrolled
2239 E COOK ST, SPRINGFIELD, IL 62703(217) 788-2300(217) 788-2343 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Laci Watson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACI WATSON NP (NPI 1053847509) is an individual family provider in Springfield, Illinois, licensed in Illinois (209.015954) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Taylorville.

NPPES Registry Identity

NPI1053847509
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACI WATSONCredential: NP
Location Address2239 E COOK STSpringfield, IL 62703-1944
Mailing Address475 Murray Hill AveTovey, IL 62570-4477
Phone(217) 788-2300
Fax(217) 788-2343
Sole ProprietorNo
Enumeration DateMay 3, 2017
Last NPPES UpdateMarch 17, 2018
✔ NPI 1053847509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.015954
2239 E COOK ST, Springfield, IL 62703
Open in Google Maps ↗

Secondary Practice Location 1

Location 11510 W Springfield RdTaylorville, IL 62568-2763 · Phone (217) 824-8244

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laci Watson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$5.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TULIN PERIHAN OZYURT DMD
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
MUZAMMIL SAEED DDS
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
MRS. CORINNE ROSE JAHNS N.P.
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
ANKUSH KATKADE
Dentist (General Practice)
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
DR. MARY-MARGARET WILLIAMS WARRICK LOOKER D.D.S.
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
ASHLYN S BARTELS FNP
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
DR. MOHIT VERINDER SAHNI MD
Family Medicine
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 778-2300
MASTAN RAO INDLAMURI M.D.,
Family Medicine
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (713) 500-7616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laci Watson's NPI number?

The NPI number for Laci Watson is 1053847509. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Laci Watson located?

Laci Watson practices at 2239 E Cook St, Springfield, IL 62703. The listed phone number is (217) 788-2300.

What is Laci Watson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laci Watson enrolled in Medicare?

Yes. Laci Watson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laci Watson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.