ROCHE WATSON
NPI 1639522659
Nurse Practitioner - Family in Waldorf, MD
About Roche Watson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROCHE WATSON (NPI 1639522659) is an individual family provider in Waldorf, Maryland, licensed in Maryland (R187378) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roche Watson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Roche Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waldorf, MD 20602
- Reassigned Medicare billing, Maryland enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
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 Roche Watson's NPI number?
The NPI number for Roche Watson is 1639522659. It was assigned to this individual provider in the NPPES registry on July 14, 2016.
Where is Roche Watson located?
Roche Watson practices at 11637 Terrace Dr, Waldorf, MD 20602. The listed phone number is (301) 870-7287.
What is Roche Watson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Roche Watson enrolled in Medicare?
Yes. Roche Watson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Roche Watson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roche Watson reassigns Medicare benefits to C C Neurology LLC (Waldorf, MD). 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 Roche 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 Roche Watson was last updated on July 14, 2016. 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.
# Roche Watson · NPI 1639522659
Family physician in Waldorf, Maryland. Individual provider, active in the CMS NPPES registry since July 14, 2016.
## Identity
- **NPI:** 1639522659 (Entity type: Individual)
- **Enumerated:** July 14, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R187378 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11637 TERRACE DR, Waldorf, MD 20602-3706
- **Phone:** (301) 870-7287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** C C Neurology LLC (NPI 1750158374, Waldorf, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1639522659) · Data from the CMS NPPES public registry.