KELLY M WATSON FNP
NPI 1154711265
Nurse Practitioner - Family in Bolivar, MO
About Kelly M Watson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY M WATSON FNP (NPI 1154711265) is an individual family provider in Bolivar, Missouri, licensed in Missouri (2016007903) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Kelly M Watson Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 249 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Memorial Hospital
Acute Care Hospitals · Bolivar, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelly Watson's NPI number?
The NPI number for Kelly Watson is 1154711265. It was assigned to this individual provider in the NPPES registry on January 27, 2015.
Where is Kelly Watson located?
Kelly Watson practices at 1500 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 328-4201.
What is Kelly Watson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Watson enrolled in Medicare?
Yes. Kelly Watson 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 organization bills Medicare for Kelly Watson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Watson reassigns Medicare benefits to Citizens Memorial Healthcare (Bolivar, MO). The 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 Kelly Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Watson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Kelly 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.
Is Kelly Watson affiliated with any hospitals?
According to CMS data, Kelly Watson is affiliated with Citizens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Watson was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly M Watson, FNP · NPI 1154711265
Family physician in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since January 27, 2015.
## Identity
- **NPI:** 1154711265 (Entity type: Individual)
- **Enumerated:** January 27, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016007903 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 N OAKLAND AVE, Bolivar, MO 65613-3099
- **Phone:** (417) 328-4201 · **Fax:** (417) 326-3939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Citizens Memorial Healthcare (NPI 1568566131, Bolivar, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154711265) · Data from the CMS NPPES public registry.