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WATERTOWN MEDICAL CENTER LLC
NPI 1699954222
Medicare Defined Swing Bed Unit in Watertown, WI

Active since October 31, 2007
125 HOSPITAL DR, WATERTOWN, WI 53098(920) 261-4210 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Mar 18, 2021, Jun 8, 2020 and 1 more (4 updates tracked since 2015).

About Watertown Medical Center Llc NPPES

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

WATERTOWN MEDICAL CENTER LLC (NPI 1699954222), doing business as Watertown Regional Medical Center, is a healthcare organization registered as a medicare defined swing bed unit in Watertown, Wisconsin and active in the NPI registry since October 2007. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1699954222
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameWATERTOWN MEDICAL CENTER LLC
Location Address125 HOSPITAL DRWatertown, WI 53098-3303
Mailing Address680 S 4th StLouisville, KY 40202-2407 · (502) 596-6063
Phone(920) 261-4210
Organization SubpartYesParent: Lifepoint Health Inc
Authorized OfficialJohnetta TraylorAo · (502) 596-6063
Enumeration DateOctober 31, 2007
Last NPPES UpdateJune 25, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1699954222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in WI · 391030310
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
125 HOSPITAL DR, Watertown, WI 53098
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Other Names 1

Doing Business AsWatertown Regional Medical Center

Other Identifiers 1

Medicaid11015400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES 20

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

MRS. SHANDELL LEE HERRICK FNP-BC
Registered Nurse
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (262) 325-9309
MS. REBECCA M ALTSHULL RD
Dietitian, Registered
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4784
METROPOLITAN WATERTOWN LLC
Anesthesiology (Pain Medicine)
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4210
SHERIDAN HEALTHCARE SERVICES OF WISCONSIN, S.C.
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 261-4210
DR. KACI LEE AXELSON MD
Obstetrics & Gynecology
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (262) 492-6549
MRS. AMBER KATHLYN MILLER APRN
Nurse Practitioner (Family)
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4495
WATERTOWN ANESTHESIOLOGY SC
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 262-4450
LINDSEY KAY MARTENS PA-C
Physician Assistant
125 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (920) 206-3042

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 Watertown Medical Center LLC's NPI number?

The NPI number for Watertown Medical Center LLC is 1699954222. It was assigned to this organization in the NPPES registry on October 31, 2007. The provider is doing business as Watertown Regional Medical Center.

Where is Watertown Medical Center LLC located?

Watertown Medical Center LLC is located at 125 Hospital Dr, Watertown, WI 53098. The listed phone number is (920) 261-4210.

What is Watertown Medical Center LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

What insurance does Watertown Medical Center LLC accept?

Health plans from CareSource (Common Ground Healthcare) list Watertown Medical Center LLC 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 Watertown Medical Center LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.