AMANDA MARIE WATSON FNP-BC
NPI 1720585235
Nurse Practitioner - Family in Bristol, CT
About Amanda Marie Watson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA MARIE WATSON FNP-BC (NPI 1720585235) is an individual family provider in Bristol, Connecticut, licensed in Connecticut (12.007329) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Marie Watson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Derby, CT 06418
- Reassigned Medicare billing, Connecticut 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 06010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Amanda Watson's NPI number?
The NPI number for Amanda Watson is 1720585235. It was assigned to this individual provider in the NPPES registry on April 11, 2018. The provider is also known as Amanda Marie Ciervo.
Where is Amanda Watson located?
Amanda Watson practices at 224 Crown St, Bristol, CT 06010. The listed phone number is (860) 877-3157.
What is Amanda Watson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Watson enrolled in Medicare?
Yes. Amanda Watson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Watson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Watson reassigns Medicare benefits to Pulmonary Specialties, P.C. (Derby, CT). 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 Amanda 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 Amanda Watson was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Amanda Marie Watson, FNP-BC · NPI 1720585235
Family physician in Bristol, Connecticut. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1720585235 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12.007329 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 224 CROWN ST, Bristol, CT 06010-6125
- **Phone:** (860) 877-3157
## 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:** Pulmonary Specialties, P.C. (NPI 1437354560, Derby, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720585235) · Data from the CMS NPPES public registry.