SUMMER WATT
NPI 1104308089
Nurse Practitioner - Family in Newburgh, IN

Active since September 06, 2018PECOS EnrolledAccepts Medicare Assignment
4199 GATEWAY BLVD, NEWBURGH, IN 47630(812) 842-4200(812) 842-4227 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2019, Nov 7, 2018, Oct 25, 2018 and 1 more (4 updates tracked since 2018).

About Summer Watt NPPES

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

SUMMER WATT (NPI 1104308089) is an individual family provider in Newburgh, Indiana, licensed in Indiana (71008502A) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104308089
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUMMER WATT
Location Address4199 GATEWAY BLVDNewburgh, IN 47630-8940
Mailing AddressPo Box 637273Cincinnati, OH 45263-7273 · (812) 842-4200 · Fax (812) 842-4227
Fax(812) 842-4227
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 6, 2018
Last NPPES UpdateJune 17, 20194 updates tracked since enumeration
NPI 1104308089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71008502A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28141704A (IN)
4199 GATEWAY BLVD, Newburgh, IN 47630

Other Identifiers 2

Other71008502BIN · In Csr License
Other71008502AIN · Indiana Apn License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Summer Watt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537413265
PECOS Enrollment IDI20181116000806
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 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Registered Nurse
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner (Neonatal)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Registered Nurse
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology (Reproductive Endocrinology)
4199 GATEWAY BLVD, SUITE 2600
NEWBURGH, IN 47630
Pediatrics (Neonatal-Perinatal Medicine)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology (Obstetrics)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Anesthesiology (Pain Medicine)
4199 GATEWAY BLVD, THE WOMENS HOSPITAL ANESTHESIA SERVICES
NEWBURGH, IN 47630

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 Summer Watt's NPI number?

The NPI number for Summer Watt is 1104308089. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Summer Watt located?

Summer Watt practices at 4199 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 842-4200.

What is Summer Watt's specialty?

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

Is Summer Watt enrolled in Medicare?

Yes. Summer Watt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Summer Watt accept?

Health plans from CareSource list Summer Watt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summer Watt was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.