MRS. SUMMER WATTS FNP
NPI 1699483560
Nurse Practitioner - Family in Loris, SC

Active since November 09, 2022PECOS Enrolled
4520 BROAD ST, LORIS, SC 29569(843) 756-0959 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Summer Watts Fnp NPPES

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

MRS. SUMMER WATTS FNP (NPI 1699483560) is an individual family provider in Loris, South Carolina, licensed in South Carolina (26779) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699483560
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUMMER WATTSCredential: FNP
Location Address4520 BROAD STLoris, SC 29569-2422
Mailing Address244 Hickory Springs CtConway, SC 29527-5438 · (843) 340-2672
Sole ProprietorNo
Enumeration DateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1699483560 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 SC · 26779
4520 BROAD ST, Loris, SC 29569

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Summer Watts Fnp 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 Summer Watts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
182C SEA ISLAND PKWY
Beaufort, SC 29907
  • Reassigned Medicare billing, South Carolina enrollment
  • 200 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 29569 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 4

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

Nurse Practitioner (Family)
4520 BROAD ST
LORIS, SC 29569
Nurse Practitioner (Family)
4520 BROAD ST
LORIS, SC 29569
Nurse Practitioner (Family)
4520 BROAD ST
LORIS, SC 29569
Nurse Practitioner (Family)
4520 BROAD ST
LORIS, SC 29569

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 Summer Watts's NPI number?

The NPI number for Summer Watts is 1699483560. It was assigned to this individual provider in the NPPES registry on November 9, 2022.

Where is Summer Watts located?

Summer Watts practices at 4520 Broad St, Loris, SC 29569. The listed phone number is (843) 756-0959.

What is Summer Watts's specialty?

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

Is Summer Watts enrolled in Medicare?

Yes. Summer Watts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Summer Watts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Watts reassigns Medicare benefits to Lowcountry Urgent Care LLC (Beaufort, SC). 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 Summer Watts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Summer Watts accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Summer Watts 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 Summer Watts was last updated on November 9, 2022. 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.