KENDRA JAYNE WATSON FNP
NPI 1760637920
Nurse Practitioner - Family in Portland, OR
About Kendra Jayne Watson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA JAYNE WATSON FNP (NPI 1760637920) is an individual family provider in Portland, Oregon, licensed in Oregon (200950096NP) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.
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)
Kendra Jayne Watson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kendra Watson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97210
- Reassigned Medicare billing, Oregon and Washington enrollments
- 1,248 clinicians in this Medicare group
Portland, OR 97205
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Portland, OR 97204
- Reassigned Medicare billing, Oregon and Washington enrollments
- 163 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon 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 97209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kendra Watson's NPI number?
The NPI number for Kendra Watson is 1760637920. It was assigned to this individual provider in the NPPES registry on December 1, 2008. The provider is also known as Kendra Lawley.
Where is Kendra Watson located?
Kendra Watson practices at 1420 NW Lovejoy St #432, Portland, OR 97209. The listed phone number is (503) 914-6125.
What is Kendra Watson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kendra Watson enrolled in Medicare?
Yes. Kendra Watson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kendra Watson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Watson reassigns Medicare benefits to 5 organizations: Legacy Clinics LLC (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Northwest Acute Care Specialists PC (Portland, OR), Providence Health & Services - Oregon (Portland, OR) and Sawubona, LLC (Portland, OR). Each 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 Kendra 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 Kendra Watson was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kendra Jayne Watson, FNP · NPI 1760637920
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since December 1, 2008.
## Identity
- **NPI:** 1760637920 (Entity type: Individual)
- **Enumerated:** December 1, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 200950096NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1420 NW LOVEJOY ST, #432, Portland, OR 97209-2734
- **Phone:** (503) 914-6125
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Legacy Clinics LLC (NPI 1902827272, Portland, OR); Providence Health & Services - Oregon (NPI 1235479643, Portland, OR); Northwest Acute Care Specialists PC (NPI 1215983200, Portland, OR); Providence Health & Services - Oregon (NPI 1235259532, Portland, OR); Sawubona, LLC (NPI 1811519523, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760637920) · Data from the CMS NPPES public registry.