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MIA WATSON PA-C
NPI 1083492011
Physician Assistant in Philadelphia, PA

Active since September 20, 2023PECOS Enrolled
12000 BUSTLETON AVE STE 102, PHILADELPHIA, PA 19116(215) 673-7600(215) 673-1894 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Watson Pa-c NPPES

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

MIA WATSON PA-C (NPI 1083492011) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA065077) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083492011
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIA WATSONCredential: PA-C
Location Address12000 BUSTLETON AVE STE 102Philadelphia, PA 19116-2151
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105 · (215) 707-3911
Phone(215) 673-7600
Fax(215) 673-1894
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
Last NPPES UpdateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1083492011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA065077
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12000 BUSTLETON AVE STE 102, Philadelphia, PA 19116
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Watson Pa-c 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 19116 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mia Watson's NPI number?

The NPI number for Mia Watson is 1083492011. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Mia Watson located?

Mia Watson practices at 12000 Bustleton Ave Ste 102, Philadelphia, PA 19116. The listed phone number is (215) 673-7600.

What is Mia Watson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mia Watson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mia Watson was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.