TYANNA WATTS
NPI 1194689646
Nurse Practitioner - Family in Bronx, NY

Q: What is Tyanna Watts's NPI number?

The NPI number for Tyanna Watts is 1194689646. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Q: What is Tyanna Watts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyanna Watts was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 10, 2025PECOS EnrolledAccepts Medicare Assignment

2626 HALPERIN AVE, BRONX, NY 10461(646) 609-8374 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tyanna Watts NPPES

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

TYANNA WATTS (NPI 1194689646) is an individual family provider in Bronx, New York, licensed in New York (358369) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194689646

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTYANNA WATTS

Location Address2626 HALPERIN AVEBronx, NY 10461-2631

Mailing Address769 St.marks Ave, Apt 2-5eBrooklyn, NY 11213 · (347) 288-9393

Phone(646) 609-8374

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 10, 2025

NPPES CertifiedDecember 4, 2025

✔ NPI 1194689646 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

License✔ Licensed in NY · 358369

2626 HALPERIN AVE, Bronx, NY 10461

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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

Tyanna Watts 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 ID7416434378

PECOS Enrollment IDI20260122000613

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 10461 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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Other Providers at the Same Location NPPES 12

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

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