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

Active since August 27, 2012PECOS Enrolled
925 BEVINS COURT, LAKEPORT, CA 95453(707) 263-8383(707) 263-5019 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lorena Watson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake County Tribal Health Consortium Inc.
Same address
Federally Qualified Health Center (FQHC)
925 BEVINS CT
Lakeport, CA 95453
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1881697381 (707) 263-8382
Sutter Bay Hospitals
4.8 mi
Rural Health
5176 HILL RD E
Lakeport, CA 95453
  • Reassigned Medicare billing, California enrollment
  • 132 clinicians in this Medicare group
NPI 1770816829 (707) 262-5000
Specialty Care And Surgery Center
6.7 mi
Gynecology
5685 MAIN ST
Kelseyville, CA 95451
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1073648630 (707) 279-8733

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 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
Dentist
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
MS. TERRI L TURNER DO
Internal Medicine
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
LAWERENCE G CANNON DDS
Dentist (General Practice)
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8382
DR. ELIEZER MELENDEZ MD
Pediatrics
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
MICHAEL KEITH MIETZ PA
Physician Assistant (Medical)
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383

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 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.

Where is Lorena Watson located?

Lorena Watson practices at 925 Bevins Court, Lakeport, CA 95453. The listed phone number is (707) 263-8383.

What is Lorena Watson's specialty?

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

Is Lorena Watson enrolled in Medicare?

Yes. Lorena Watson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lorena Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorena Watson reassigns Medicare benefits to 3 organizations: Lake County Tribal Health Consortium Inc. (Lakeport, CA), Sutter Bay Hospitals (Lakeport, CA) and Specialty Care And Surgery Center (Kelseyville, CA). 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 Lorena 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 Lorena Watson was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.