JUSTINE ANNISSA-MARIE WATSON PA-C
NPI 1417330341
Physician Assistant in Newark, DE

Q: What is Justine Watson's NPI number?

The NPI number for Justine Watson is 1417330341. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Q: What is Justine Watson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Justine Watson was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment

4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Jan 8, 2020 (2 updates tracked since 2020).

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About Justine Annissa-marie Watson Pa-c NPPES

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

JUSTINE ANNISSA-MARIE WATSON PA-C (NPI 1417330341) is an individual physician assistant in Newark, Delaware, licensed in Illinois (085010236) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palos Heights, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417330341

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJUSTINE ANNISSA-MARIE WATSONCredential: PA-C

Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-2200

Mailing Address12251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290 · (708) 923-4200 · Fax (708) 923-4201

Phone(302) 623-0188

Fax(302) 733-5640

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 9, 2015

Last NPPES UpdateJune 26, 20242 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1417330341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085010236✔ Licensed in DE · C5-0001071

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

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Secondary Practice Location 1

Location 112251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290 · Phone (708) 923-4200 · Fax (708) 923-4201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

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

Justine Annissa-marie Watson Pa-c 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 ID8628383536

PECOS Enrollment IDI20161109002095

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 19718 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

Most-billed visit code 99213

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.

SHRUTI PURI MD

Internal Medicine (Infectious Disease)