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ANGELA MARIE WATTERS M.S., CCC-SLP
NPI 1619239894
Speech-Language Pathologist in Edwardsville, IL

Active since June 13, 2012
2122 TROY RD STE 120, EDWARDSVILLE, IL 62025(618) 800-4620 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angela Marie Watters M.s., Ccc-slp NPPES

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

ANGELA MARIE WATTERS M.S., CCC-SLP (NPI 1619239894) is an individual speech-language pathologist provider in Edwardsville, Illinois, licensed in Florida (SA11936) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1619239894
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANGELA MARIE WATTERSCredential: M.S., CCC-SLP
Location Address2122 TROY RD STE 120Edwardsville, IL 62025-2540
Mailing Address2122 Troy Rd Ste 120Edwardsville, IL 62025-2540 · (618) 800-4620
Phone(618) 800-4620
Sole ProprietorYes
Enumeration DateJune 13, 2012
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1619239894 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
License✔ Licensed in FL · SA11936
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.
2122 TROY RD STE 120, Edwardsville, IL 62025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Marie Watters M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Childrens Illinois Inc
Same address
Multi-Specialty
2122 TROY RD STE 120
Edwardsville, IL 62025
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1073283198 (618) 800-4620

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

Other Providers at the Same Location NPPES 15

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

CHILDRENS ILLINOIS INC
Clinic/Center (Multi-Specialty)
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
MRS. KATHERINE ALPHA ELLEN VIERRA CCC-SLP
Speech-Language Pathologist
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
COLLEEN M CHAPMAN DPT
Physical Therapist (Orthopedic)
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
ANDREA MARIE MOHR
Speech-Language Pathologist
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
LAUREN COBB DPT
Physical Therapist (Pediatrics)
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
MADELEINE MCQUALITY PT, DPT
Physical Therapist (Pediatrics)
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
AIMEE N SAVOIE DPT
Physical Therapist
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
JENNIFER A HITT MS, CCC-SLP
Speech-Language Pathologist
2122 TROY RD STE 120
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620

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 Angela Watters's NPI number?

The NPI number for Angela Watters is 1619239894. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Angela Watters located?

Angela Watters practices at 2122 Troy Rd Ste 120, Edwardsville, IL 62025. The listed phone number is (618) 800-4620.

What is Angela Watters's specialty?

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

Is Angela Watters enrolled in Medicare?

Yes. Angela Watters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Watters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Watters reassigns Medicare benefits to Childrens Illinois Inc (Edwardsville, IL). 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 Angela Watters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Watters accept?

Health plans from Oscar Health Maintenance Organization of Florida list Angela Watters 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 Angela Watters was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.