JOHN DOUGLAS WATHEN RN, BSN, MSN, PMHNP
NPI 1316562499
Nurse Practitioner - Psychiatric/Mental Health in Evansville, IN

Active since June 14, 2020PECOS EnrolledAccepts Medicare Assignment
415 MULBERRY ST, EVANSVILLE, IN 47713(812) 423-7791 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2020, Jun 14, 2020 (2 updates tracked since 2020).

About John Douglas Wathen Rn, Bsn, Msn, Pmhnp NPPES

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

JOHN DOUGLAS WATHEN RN, BSN, MSN, PMHNP (NPI 1316562499) is an individual psychiatric/mental health provider in Evansville, Indiana, licensed in Indiana (71010207A) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Evansville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316562499
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHN DOUGLAS WATHENCredential: RN, BSN, MSN, PMHNP
Location Address415 MULBERRY STEvansville, IN 47713-1230
Mailing Address5566 Whitegate CtNewburgh, IN 47630-8274 · (812) 589-9350
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 14, 2020
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1316562499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71010207A
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 28209048A (IN)
415 MULBERRY ST, Evansville, IN 47713

Secondary Practice Location 1

Location 1410 Mulberry StEvansville, IN 47713-1231 · Phone (812) 423-7791

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

John Douglas Wathen Rn, Bsn, Msn, Pmhnp 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 ID3678990892
PECOS Enrollment IDI20200902000224
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 Reassignment

Medicare enrollment records show John Wathen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
415 MULBERRY ST
Evansville, IN 47713
  • Reassigned Medicare billing, Indiana enrollment
  • 49 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 47713 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Psychiatry & Neurology (Psychiatry)
415 MULBERRY ST
EVANSVILLE, IN 47713
Social Worker
415 MULBERRY ST
EVANSVILLE, IN 47713
Community Health Worker
415 MULBERRY ST
EVANSVILLE, IN 47713
Clinic/Center (Mental Health (Including Community Mental Health Center))
415 MULBERRY ST
EVANSVILLE, IN 47713
Social Worker
415 MULBERRY ST
EVANSVILLE, IN 47713
Nurse Practitioner (Psychiatric/Mental Health)
415 MULBERRY ST
EVANSVILLE, IN 47713
Counselor (School)
415 MULBERRY ST
EVANSVILLE, IN 47713
Social Worker (Clinical)
415 MULBERRY ST
EVANSVILLE, IN 47713

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 John Wathen's NPI number?

The NPI number for John Wathen is 1316562499. It was assigned to this individual provider in the NPPES registry on June 14, 2020.

Where is John Wathen located?

John Wathen practices at 415 Mulberry St, Evansville, IN 47713. The listed phone number is (812) 423-7791.

What is John Wathen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is John Wathen enrolled in Medicare?

Yes. John Wathen 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 John Wathen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wathen reassigns Medicare benefits to Southwestern Behavioral Healthcare, Inc. (Evansville, IN). 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 John Wathen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Wathen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list John Wathen 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 John Wathen was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.