NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC
NPI 1114147311
Nurse Practitioner - Family in Watertown, NY

Active since April 27, 2007CLIA 33D1033011 · Microscopy
19472 US ROUTE 11 STE N101, WATERTOWN, NY 13601(315) 786-1924(315) 786-0823 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2020, Sep 14, 2020, Aug 23, 2016 and 1 more (4 updates tracked since 2016).

About Northern Nurse Practitioners - Family Health Pllc NPPES

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

NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC (NPI 1114147311) is a healthcare organization registered as a family in Watertown, New York and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through November 2, 2026 and lists Catherine M O'brien, President, as its authorized official.

NPPES Registry Identity

NPI1114147311
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC
Location Address19472 US ROUTE 11 STE N101Watertown, NY 13601-5387
Mailing Address19472 Us Route 11 Ste N101Watertown, NY 13601-5387 · (315) 786-1924 · Fax (315) 786-0823
Fax(315) 786-0823
Organization SubpartNo
Authorized OfficialCatherine M O'brienPresident · (315) 786-1924
Enumeration DateApril 27, 2007
Last NPPES UpdateSeptember 30, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1114147311 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
19472 US ROUTE 11 STE N101, Watertown, NY 13601

Other Identifiers 1

MedicaidCBCCNY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Nurse Practitioners - Family Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Northern Nurse Practitioners - Family Health PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1306510730
19472 US ROUTE 11 STE N101
Watertown, NY 13601
(315) 786-1924
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811505738
1571 WASHINGTON ST STE 107
Watertown, NY 13601
(315) 782-7330
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1023764487
20053 SUMMIT VIEW BLVD STE 1
Watertown, NY 13601
(315) 755-2560
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1629328422
20053 SUMMIT VIEW BLVD STE 1B
Watertown, NY 13601
(315) 755-2560
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1194107086
53 PUBLIC SQ # 59 301
Watertown, NY 13601
(315) 782-2141
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1326562430
532 COFFEEN ST
Watertown, NY 13601
(315) 782-6200
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1154330751
26495 STATE ROUTE 3
Watertown, NY 13601
(315) 786-1924
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1851812911
18545 US ROUTE 11
Watertown, NY 13601
(315) 782-9125
✔ PECOS16 mi
Nurse Practitioner
NPI 1548742315
5823 WIDEWATERS PKWY
East Syracuse, NY 13057
(315) 500-7546
✔ PECOS62 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D1033011

Northern Nurse Practitioners Dba Family Health, PLLC · Watertown, NY
Active · expires Nov 2, 2026
CLIA Number33D1033011
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorMs. Catherine M. Obrien
Laboratory Phone(315) 786-1924
Laboratory LocationNorthern Nurse Practitioners Dba Family Health, PLLC19472 Us Route 11 - Ste N101, Watertown, NY 13601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Northern Nurse Practitioners - Family Health PLLC's NPI number?

The NPI number for Northern Nurse Practitioners - Family Health PLLC is 1114147311. It was assigned to this organization in the NPPES registry on April 27, 2007.

Where is Northern Nurse Practitioners - Family Health PLLC located?

Northern Nurse Practitioners - Family Health PLLC is located at 19472 Us Route 11 Ste N101, Watertown, NY 13601. The listed phone number is (315) 786-1924.

What is Northern Nurse Practitioners - Family Health PLLC's specialty?

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

Is Northern Nurse Practitioners - Family Health PLLC enrolled in Medicare?

Yes. Northern Nurse Practitioners - Family Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Nurse Practitioners - Family Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Northern Nurse Practitioners - Family Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northern Nurse Practitioners - Family Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D1033011) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Nurse Practitioners - Family Health PLLC was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.