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WATAUGA MEDICAL CENTER
NPI 1407921802
Psychiatry & Neurology - Psychiatry in Boone, NC

Active since November 21, 2006
336 DEERFIELD RD, BOONE, NC 28607(828) 262-9100(828) 262-4157 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Watauga Medical Center NPPES

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

WATAUGA MEDICAL CENTER (NPI 1407921802) is a healthcare organization registered as a psychiatry in Boone, North Carolina and active in the NPI registry since November 2006. The organization lists Mary Etta Long, Sr Vp Medical Staff Services, as its authorized official.

NPPES Registry Identity

NPI1407921802
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameWATAUGA MEDICAL CENTER, INC.
Location Address336 DEERFIELD RDBoone, NC 28607-5008
Mailing Address155 Furman Rd, Suite 101Boone, NC 28607-5049 · (828) 262-9100 · Fax (828) 262-4157
Phone(828) 262-9100
Fax(828) 262-4157
Organization SubpartYesParent: Appalachian Regional Healthcare System
Authorized OfficialMary Etta LongSr Vp Medical Staff Services · (828) 262-4133
Enumeration DateNovember 21, 2006
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1407921802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
336 DEERFIELD RD, Boone, NC 28607
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Other Names 1

Doing Business AsWatauga Medical Center

Other Identifiers 2

Other07630NC · Bcbs Psy
Medicaid8907630NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Watauga Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

153

Medicare enrollment records show 153 clinicians reassign Medicare billing to Watauga Medical Center, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Certified Registered Nurse Anesthetist (CRNA)40
Internal Medicine18
Nurse Practitioner18
Radiation Oncology14
Family Practice12
Cardiovascular Disease (Cardiology)11
Psychiatry10
Clinical Social Worker8
9 other specialties22

Nearest to this location (20)

See all 153
Stephen Cherry, M.D.
Cardiovascular Disease (Cardiology)
NPI 1346217247
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ PECOS✔ Accepts MedicareSame address
John Cuningham, MD
Family Practice
NPI 1336777176
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Rachel Feldman, LPCA
Mental Health Counselor
NPI 1861841116
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ PECOSSame address
Daniel Goble, M.D.
Family Practice
NPI 1639516719
336 DEERFIELD RD
Boone, NC 28607
(828) 263-1211
✔ PECOS✔ Accepts MedicareSame address
Amy Jones, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669044368
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ Accepts MedicareSame address
Jessica Lucero, NP
Nurse Practitioner
NPI 1164056537
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Michael Meadows, M.D.
Internal Medicine
NPI 1528325354
336 DEERFIELD RD
Boone, NC 28607
(540) 850-6349
✔ PECOS✔ Accepts MedicareSame address
Steven Meyer, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689725285
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ Accepts MedicareSame address
Lisa Nethery, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992027239
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ Accepts MedicareSame address
Carlo Rivera, MSN, RN, ACNPC-AG
Nurse Practitioner
NPI 1083391304
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Colleen Sharkey
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871916122
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ Accepts MedicareSame address
Katherine Smid, ARNP
Nurse Practitioner
NPI 1154536001
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ PECOSSame address
Amber Stern, FNP
Nurse Practitioner
NPI 1861047672
336 DEERFIELD RD
Boone, NC 28607
(828) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Ashlee Capponi, PA-C
Physician Assistant
NPI 1205373560
336 DEERFIELD RD
Boone, NC 28607
(828) 265-5493
✔ PECOS✔ Accepts MedicareSame address
Billie Rapol
Nurse Practitioner
NPI 1518432897
336 DEERFIELD RD
Boone, NC 28607
(828) 264-9664
✔ PECOS✔ Accepts MedicareSame address
Lisa Kaufmann, MD
Internal Medicine
NPI 1023059987
336 DEERFIELD RD
Boone, NC 28607
(828) 263-1211
✔ PECOSSame address
Kenneth Thompson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942373204
336 DEERFIELD ROAD
Boone, NC 28607
(828) 263-1211
✔ Accepts MedicareSame address
Kimberly Dewese, FNP
Nurse Practitioner
NPI 1326667742
175 MARY ST
Boone, NC 28607
(828) 264-9664
✔ PECOS✔ Accepts Medicare0.1 mi
Donna Denier, M.D.
Cardiovascular Disease (Cardiology)
NPI 1225038060
175 MARY ST
Boone, NC 28607
(828) 264-9664
✔ PECOS✔ Accepts Medicare0.1 mi
Carrie Richardson, LCSW
Clinical Social Worker
NPI 1497010011
950 STATE FARM RD BLDG 2ND
Boone, NC 28607
(828) 268-9454
✔ PECOS✔ Accepts Medicare0.4 mi
See all 153 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Watauga Medical Center, Inc.'s NPI number?

The NPI number for Watauga Medical Center, Inc. is 1407921802. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Watauga Medical Center.

Where is Watauga Medical Center, Inc. located?

Watauga Medical Center, Inc. is located at 336 Deerfield Rd, Boone, NC 28607. The listed phone number is (828) 262-9100.

What is Watauga Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Watauga Medical Center, Inc. enrolled in Medicare?

Yes. Watauga Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Watauga Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 153 clinicians in 17 Medicare specialties reassign their Medicare billing to Watauga Medical Center, Inc.. 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 Certified Registered Nurse Anesthetist (CRNA) (40), Internal Medicine (18) and Nurse Practitioner (18). Of these, 17 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Watauga Medical Center, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Watauga Medical Center, Inc. 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 Watauga Medical Center, Inc. was last updated on January 15, 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.