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

Q: 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.

Q: What is Laci Watson's specialty?

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

Q: Is Laci Watson enrolled in Medicare?

No. Laci Watson has opted out of Medicare through October 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: 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.

Active since May 03, 2017Opted out of Medicare · through Oct 26, 2026

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: August 02, 2026.

On this page

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 has opted out of Medicare through October 26, 2026 and remains eligible to order and refer 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

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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

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Opted out of Medicare

Laci Watson Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 26, 2020 through October 26, 2026.

Opt-Out Effective DateOctober 26, 2020

Opt-Out In Effect ThroughOctober 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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

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