LORENA A WATSON FNP - NPI 1942558721 - Nurse Practitioner in Lakeport, CA

Q: What is Lorena Watson's NPI number?

The NPI number for Lorena Watson is 1942558721. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Q: What is Lorena Watson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lorena Watson was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lorena A Watson Fnp NPPES

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

LORENA A WATSON FNP (NPI 1942558721) is an individual family provider in Lakeport, California, licensed in California (22120) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942558721

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLORENA A WATSONCredential: FNP

Location Address925 BEVINS COURTLakeport, CA 95453-9754

Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 262-8382 · Fax (707) 263-1909

Phone(707) 263-8383

Fax(707) 263-5019

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 27, 2012

Last NPPES UpdateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1942558721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 22120

925 BEVINS COURT, Lakeport, CA 95453

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Secondary Practice Locations 2

Location 15108 Hill Road EastLakeport, CA 95453 · Phone (707) 262-1840

Location 214440 Olympic DriveClearlake, CA 95422-8809 · Phone (707) 263-8383 · Fax (707) 263-5019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorena A Watson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42460230

PECOS Enrollment IDI20121024000623

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 95453 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 5

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

DR. JAI GOO LEE DDS

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