MS. KAREN S. WATT CNM
NPI 1154303626
Advanced Practice Midwife in Kaufman, TX

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
874 ED HALL DR, SUITE 102, KAUFMAN, TX 75142(972) 932-5411(972) 932-5425 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Karen S. Watt Cnm NPPES

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

MS. KAREN S. WATT CNM (NPI 1154303626) is an individual advanced practice midwife in Kaufman, Texas, licensed in Texas (741092) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154303626
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMS. KAREN S. WATTCredential: CNM
Location Address874 ED HALL DR, SUITE 102Kaufman, TX 75142-1861
Mailing Address874 Ed Hall Dr, Suite 102Kaufman, TX 75142-1861 · (972) 932-5411 · Fax (972) 932-5425
Fax(972) 932-5425
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 18, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1154303626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in TX · 741092
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
874 ED HALL DR, Kaufman, TX 75142

Other Identifiers 5

Medicaid1973406-02TX
Medicaid00126113MS
Medicaid569100057AL
Other730-14358Blue Cross Of Al
Medicaid1973406-01TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Karen S. Watt Cnm 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 ID9830163724
PECOS Enrollment IDI20161027000217
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Watt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
200 W MAIN ST
Ligonier, PA 15658
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
Rural Health
365 WARD DR
Claysburg, PA 16625
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 112 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75142 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
874 ED HALL DR
KAUFMAN, TX 75142
Nurse Practitioner (Adult Health)
874 ED HALL DR
KAUFMAN, TX 75142
Internal Medicine
874 ED HALL DR, STE 106
KAUFMAN, TX 75142
General Acute Care Hospital
874 ED HALL DR, SUITE 102
KAUFMAN, TX 75142
General Practice
874 ED HALL DR, STE 106
KAUFMAN, TX 75142
Family Medicine (Hospice and Palliative Medicine)
874 ED HALL DR, SUITE 106
KAUFMAN, TX 75142
Nurse Practitioner (Adult Health)
874 ED HALL DR, SUITE 102-103
KAUFMAN, TX 75142
Preventive Medicine (Addiction Medicine)
874 ED HALL DR, STE. 107
KAUFMAN, TX 75142

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 Karen Watt's NPI number?

The NPI number for Karen Watt is 1154303626. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Karen Watt located?

Karen Watt practices at 874 Ed Hall Dr Suite 102, Kaufman, TX 75142. The listed phone number is (972) 932-5411.

What is Karen Watt's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Karen Watt enrolled in Medicare?

Yes. Karen 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.

Which organizations bill Medicare for Karen Watt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Watt reassigns Medicare benefits to 2 organizations: Dlp Conemaugh Physician Practices LLC (Ligonier, PA) and Nason Physician Practices LLC (Claysburg, PA). Each 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 Karen Watt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Watt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen 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 Karen Watt was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.