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WATERTOWN URGENT CARE PLLC
NPI 1194924134
Internal Medicine in Watertown, NY

Active since July 11, 2007CLIA Certified · 2 labs
457 GAFFNEY DR, WATERTOWN, NY 13601(315) 779-2273(315) 779-2274 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Watertown Urgent Care Pllc NPPES

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

WATERTOWN URGENT CARE PLLC (NPI 1194924134) is a healthcare organization registered as an internal medicine in Watertown, New York and active in the NPI registry since July 2007. The organization holds 2 active CLIA laboratory certificates and lists Sharon Crump, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194924134
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWATERTOWN URGENT CARE PLLC
Location Address457 GAFFNEY DRWatertown, NY 13601-1834
Mailing Address457 Gaffney DrWatertown, NY 13601-1834 · (315) 779-2273 · Fax (315) 779-2274
Phone(315) 779-2273
Fax(315) 779-2274
Organization SubpartNo
Authorized OfficialSharon CrumpOffice Manager · (315) 779-2273
Enumeration DateJuly 11, 2007
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1194924134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 169537
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
457 GAFFNEY DR, Watertown, NY 13601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Watertown Urgent Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Watertown Urgent Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Joseph Donoghue, FNP
Nurse Practitioner
NPI 1558174714
457 GAFFNEY DR
Watertown, NY 13601
(315) 779-2273
✔ PECOS✔ Accepts MedicareSame address
Selina Villanueva, N.P.
Nurse Practitioner
NPI 1639721137
457 GAFFNEY DR
Watertown, NY 13601
(315) 779-2273
✔ PECOS✔ Accepts MedicareSame address
Collins Kellogg, MD
Internal Medicine
NPI 1225031255
53-59 PUBLIC SQ STE 301
Watertown, NY 13601
(315) 782-2141
✔ PECOS✔ Accepts Medicare1.7 mi
Connor Kellogg, FNP
Nurse Practitioner
NPI 1467166736
53-59 PUBLIC SQ STE 301
Watertown, NY 13601
(315) 782-2141
✔ PECOS✔ Accepts Medicare1.7 mi
Jeff Perrine, FNP
Nurse Practitioner
NPI 1245675495
53-59 PUBLIC SQUARE SUITE 301
Watertown, NY 13601
(315) 782-2141
✔ PECOS✔ Accepts Medicare1.7 mi
Sarah Hill, FNP-BC
Nurse Practitioner
NPI 1912253469
3 BRIDGE STREET SUITE 3
Carthage, NY 13619
(315) 493-7334
✔ PECOS✔ Accepts Medicare16 mi
Jamaica Mariae Tobias, DNP, AGACNP, FNP
Nurse Practitioner
NPI 1225430549
214 CHURCH ST
Carthage, NY 13619
(646) 464-2634
✔ PECOS✔ Accepts Medicare16 mi
Cynthia Simpson, NP
Nurse Practitioner
NPI 1265438824
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-2511
✔ PECOS24 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 2

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 of Waiver 33D1049450

Watertown Urgent Care PLLC · Watertown, NY
Active · expires Jan 5, 2028
CLIA Number33D1049450
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorCollins F. Kellogg Jr
Laboratory Phone(315) 779-2273
Laboratory LocationWatertown Urgent Care PLLC457 Gaffney Drive, 1st Floor, Watertown, NY 13601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2096187

Watertown Urgent Care · Adams, NY
Active · expires May 18, 2027
CLIA Number33D2096187
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorDr. Collins F. Kellogg Jr
Laboratory Phone(315) 779-2273
Laboratory LocationWatertown Urgent Care10881 Us Rte 11, Adams, NY 13605
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Watertown Urgent Care PLLC's NPI number?

The NPI number for Watertown Urgent Care PLLC is 1194924134. It was assigned to this organization in the NPPES registry on July 11, 2007.

Where is Watertown Urgent Care PLLC located?

Watertown Urgent Care PLLC is located at 457 Gaffney Dr, Watertown, NY 13601. The listed phone number is (315) 779-2273.

What is Watertown Urgent Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Watertown Urgent Care PLLC enrolled in Medicare?

Yes. Watertown Urgent Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Watertown Urgent Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Watertown Urgent Care 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. The largest specialties are Nurse Practitioner (7) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Watertown Urgent Care PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Watertown Urgent Care PLLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.