MRS. DEITRA MECHELLE WATSON MSN, APRN-BC
NPI 1285869578
Nurse Practitioner - Family in Columbia, SC

Active since May 15, 2009PECOS Enrolled
1501 SUMTER ST, COLUMBIA, SC 29201(803) 296-3726(803) 296-3460 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Deitra Mechelle Watson Msn, Aprn-bc NPPES

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

MRS. DEITRA MECHELLE WATSON MSN, APRN-BC (NPI 1285869578) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (3842) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285869578
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEITRA MECHELLE WATSONCredential: MSN, APRN-BC
Location Address1501 SUMTER STColumbia, SC 29201-2829
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (865) 522-8603
Fax(803) 296-3460
Sole ProprietorYes
Enumeration DateMay 15, 2009
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1285869578 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 SC · 3842
1501 SUMTER ST, Columbia, SC 29201

Other Identifiers 1

MedicaidNP1528SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Deitra Mechelle Watson Msn, Aprn-bc 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 29201 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 17

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

Health Educator
1501 SUMTER ST
COLUMBIA, SC 29201
Health Educator
1501 SUMTER ST
COLUMBIA, SC 29201
Dietitian, Registered
1501 SUMTER ST
COLUMBIA, SC 29201
Nurse Practitioner (Family)
1501 SUMTER ST
COLUMBIA, SC 29201
Health Educator
1501 SUMTER ST
COLUMBIA, SC 29201
Counselor (Professional)
1501 SUMTER ST, PALMETTO HEALTH COUNSELING
COLUMBIA, SC 29201
Nurse Practitioner (Adult Health)
1501 SUMTER ST
COLUMBIA, SC 29201
Marriage & Family Therapist
1501 SUMTER ST
COLUMBIA, SC 29201

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 Deitra Watson's NPI number?

The NPI number for Deitra Watson is 1285869578. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Where is Deitra Watson located?

Deitra Watson practices at 1501 Sumter St, Columbia, SC 29201. The listed phone number is (803) 296-3726.

What is Deitra Watson's specialty?

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

Is Deitra Watson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Deitra Watson was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.