KELLY WATTERS DNP, ANP-C
NPI 1942214408
Nurse Practitioner - Adult Health in Henderson, NV

Q: What is Kelly Watters's NPI number?

The NPI number for Kelly Watters is 1942214408. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Kelly Watters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Watters was last updated on June 27, 2023. 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.

Active since July 28, 2006PECOS Enrolled

1501 W SUNSET RD, HENDERSON, NV 89014(725) 269-7001(725) 269-7003 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Nov 30, 2021, Apr 6, 2021 and 4 more (7 updates tracked since 2015).

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About Kelly Watters Dnp, Anp-c NPPES

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

KELLY WATTERS DNP, ANP-C (NPI 1942214408) is an individual adult health provider in Henderson, Nevada, licensed in Nevada (APRN002043) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942214408

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY WATTERSCredential: DNP, ANP-C

Location Address1501 W SUNSET RDHenderson, NV 89014-6636

Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (615) 314-8069 · Fax (615) 692-0547

Phone(725) 269-7001

Fax(725) 269-7003

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateJune 27, 20237 updates tracked since enumeration

NPPES CertifiedJune 27, 2023

✔ NPI 1942214408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NV · APRN002043

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN002043 (NV)

1501 W SUNSET RD, Henderson, NV 89014

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Other Identifiers 1

Medicaid1942214408NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Watters Dnp, Anp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89014 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 11

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

LINDA LOU JOHNSON MD

Internal Medicine