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SHELBY LOU WATSON PA-C
NPI 1114484581
Physician Assistant in Dayton, OH

Active since February 21, 2019PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3600(937) 641-5802 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Jun 11, 2025, Oct 7, 2024 and 6 more (9 updates tracked since 2019).

About Shelby Lou Watson Pa-c NPPES

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

SHELBY LOU WATSON PA-C (NPI 1114484581) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.005952RX) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1114484581
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY LOU WATSONCredential: PA-C
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129
Phone(937) 641-3600
Fax(937) 641-5802
Sole ProprietorNo
Enumeration DateFebruary 21, 2019
Last NPPES UpdateMay 29, 20269 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1114484581 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 OH · 50.005952RX
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.
1 CHILDRENS PLZ, Dayton, OH 45404
Open in Google Maps ↗

Secondary Practice Locations 10

Location 11711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172
Location 26044 Wilmington PikeDayton, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108
Location 33333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-3400 · Fax (937) 641-4880
Location 4792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237
Location 54475 Far Hills AveKettering, OH 45429-2405 · Phone (937) 641-3141 · Fax (937) 641-3190
Location 68501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791
Location 7662 N Main StSpringboro, OH 45066-9553 · Phone (937) 641-5066 · Fax (937) 550-9797
Location 87787 Cox LnWest Chester, OH 45069-6549 · Phone (513) 644-8081 · Fax (513) 847-1192
Location 9860 Valley St.Dayton, OH 45404 · Phone (937) 641-3060 · Fax (937) 641-3285
Location 103301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395

Other Identifiers 1

Medicaid0340092OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Lou 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 45404 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
MISS SAUNDRA D ZERBE FNP
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600

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 Shelby Watson's NPI number?

The NPI number for Shelby Watson is 1114484581. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Where is Shelby Watson located?

Shelby Watson practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3600.

What is Shelby Watson's specialty?

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

Is Shelby Watson enrolled in Medicare?

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

What insurance does Shelby Watson accept?

Health plans from CareSource and MedMutual list Shelby Watson 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 Shelby Watson was last updated on May 29, 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.