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MRS. KELLY CONWAY WATSON ARNP
NPI 1629447552
Nurse Practitioner - Pediatrics in Jacksonville, FL

Active since September 22, 2015PECOS Enrolled
12317 SOARING FLIGHT DR, JACKSONVILLE, FL 32225(904) 881-8677 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2015, Nov 19, 2015 (2 updates tracked since 2015).

About Mrs. Kelly Conway Watson Arnp NPPES

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

MRS. KELLY CONWAY WATSON ARNP (NPI 1629447552) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ARNP9348566) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629447552
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KELLY CONWAY WATSONCredential: ARNP
Location Address12317 SOARING FLIGHT DRJacksonville, FL 32225-0784
Mailing Address12317 Soaring Flight DrJacksonville, FL 32225-0784 · (904) 881-8677
Phone(904) 881-8677
Sole ProprietorYes
Enumeration DateSeptember 22, 2015
Last NPPES UpdateNovember 23, 20152 updates tracked since enumeration
✔ NPI 1629447552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · ARNP9348566
12317 SOARING FLIGHT DR, Jacksonville, FL 32225
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Other Identifiers 3

Medicare PINII429ZFL
Medicaid015846600FL
Medicaid003169318AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Conway Watson Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelly Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians, Inc.
11 mi
Neuromuscular Medicine
580 W 8TH ST, UFJP NEUROLOGY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1104085752 (904) 383-1022

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 32225 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Kelly Watson's NPI number?

The NPI number for Kelly Watson is 1629447552. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Kelly Watson located?

Kelly Watson practices at 12317 Soaring Flight Dr, Jacksonville, FL 32225. The listed phone number is (904) 881-8677.

What is Kelly Watson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Watson enrolled in Medicare?

Yes. Kelly Watson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Watson reassigns Medicare benefits to University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL). 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 Kelly Watson'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 Kelly Watson was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.