KECIA KRISTINE WATSON FNP-C
NPI 1649878935
Nurse Practitioner - Family in Draper, UT

Active since October 09, 2020Opted out of Medicare · through Jul 1, 2027
11576 S STATE ST STE 101B, DRAPER, UT 84020(503) 453-2758 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Oct 9, 2020 (2 updates tracked since 2020).

About Kecia Kristine Watson Fnp-c NPPES

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

KECIA KRISTINE WATSON FNP-C (NPI 1649878935) is an individual family provider in Draper, Utah, licensed in Utah (11919345-4405) and active in the NPI registry since October 2020. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649878935
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKECIA KRISTINE WATSONCredential: FNP-C
Location Address11576 S STATE ST STE 101BDraper, UT 84020-7126
Mailing Address11576 S State St Ste 101bDraper, UT 84020-7126 · (503) 453-2758
Sole ProprietorYes
Enumeration DateOctober 9, 2020
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1649878935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 11919345-4405
11576 S STATE ST STE 101B, Draper, UT 84020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kecia Kristine Watson Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES

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

Physician Assistant
11576 S STATE ST STE 101B
DRAPER, UT 84020

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 Kecia Watson's NPI number?

The NPI number for Kecia Watson is 1649878935. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Kecia Watson located?

Kecia Watson practices at 11576 S State St Ste 101B, Draper, UT 84020. The listed phone number is (503) 453-2758.

What is Kecia Watson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kecia Watson enrolled in Medicare?

No. Kecia Watson has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kecia Watson was last updated on June 25, 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.