NICOLE RENEE WATKINS
NPI 1548933310
Speech-Language Pathologist in Waldorf, MD

Active since July 28, 2021
10155 BERRY RD, WALDORF, MD 20603(301) 753-1782 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Renee Watkins NPPES

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

NICOLE RENEE WATKINS (NPI 1548933310) is an individual speech-language pathologist provider in Waldorf, Maryland and active in the NPI registry since July 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1548933310
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLE RENEE WATKINS
Location Address10155 BERRY RDWaldorf, MD 20603-3710
Mailing Address10155 Berry RdWaldorf, MD 20603-3710 · (301) 753-1782
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1548933310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
10155 BERRY RD, Waldorf, MD 20603

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Renee Watkins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597224964
PECOS Enrollment IDI20260826002125

Medicare Billing Reassignment

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

Physical Therapist
518 W GUTIERREZ ST APT D
Santa Barbara, CA 93101
  • Reassigned Medicare billing, California enrollment
  • 6 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.

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 Nicole Watkins's NPI number?

The NPI number for Nicole Watkins is 1548933310. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Nicole Watkins located?

Nicole Watkins practices at 10155 Berry Rd, Waldorf, MD 20603. The listed phone number is (301) 753-1782.

What is Nicole Watkins's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Nicole Watkins enrolled in Medicare?

Yes. Nicole Watkins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Watkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Watkins reassigns Medicare benefits to Stride Better, PC (Santa Barbara, CA). 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 Nicole Watkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Watkins was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.