WATERTOWN FAMILY PRACTICE ASSOCIATES S.C.
NPI 1811064942
Family Medicine in Watertown, WI
About Watertown Family Practice Associates S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATERTOWN FAMILY PRACTICE ASSOCIATES S.C. (NPI 1811064942) is a healthcare organization registered as a family medicine in Watertown, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through January 20, 2028 and lists Michael E Sullivan, Clinic President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Watertown Family Practice Associates S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Watertown Family Practice Associates S.C., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0388938
Watertown Family Practice Associates Sc · Watertown, WIFrequently 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 Family Practice Associates S.C.'s NPI number?
The NPI number for Watertown Family Practice Associates S.C. is 1811064942. It was assigned to this organization in the NPPES registry on November 30, 2006.
Where is Watertown Family Practice Associates S.C. located?
Watertown Family Practice Associates S.C. is located at 127 Hospital Dr, Watertown, WI 53098. The listed phone number is (920) 261-8500.
What is Watertown Family Practice Associates S.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Watertown Family Practice Associates S.C. enrolled in Medicare?
Yes. Watertown Family Practice Associates S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Watertown Family Practice Associates S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Watertown Family Practice Associates S.C.. A 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 the clinician's services. The largest specialties are Family Practice (6), Nurse Practitioner (6) and Hospitalist (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Watertown Family Practice Associates S.C. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0388938) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Watertown Family Practice Associates S.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, MercyCare and MercyCare Health Plans and 2 other insurers list Watertown Family Practice Associates S.C. 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 Family Practice Associates S.C. was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Watertown Family Practice Associates S.c. · NPI 1811064942
Family Medicine organization in Watertown, Wisconsin. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1811064942 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Michael Sullivan, CLINIC PRESIDENT
## Practice location
- **Address:** 127 HOSPITAL DR, Watertown, WI 53098-3303
- **Phone:** (920) 261-8500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (6), Hospitalist (1); 8 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2022
- **Other identifiers:** Medicaid 32687900 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811064942) · Data from the CMS NPPES public registry.