VIVIAN E WATTERS
NPI 1962164723
Social Worker in Mesa, AZ
About Vivian E Watters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN E WATTERS (NPI 1962164723) is an individual social worker in Mesa, Arizona, licensed in Arizona (LMSW6921T) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vivian E Watters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Vivian Watters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lincolnwood, IL 60712
- Reassigned Medicare billing, Illinois enrollment
- 44 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.
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 Vivian Watters's NPI number?
The NPI number for Vivian Watters is 1962164723. It was assigned to this individual provider in the NPPES registry on October 8, 2021.
Where is Vivian Watters located?
Vivian Watters practices at 303 S Recker Rd Lot 47, Mesa, AZ 85206. The listed phone number is (480) 295-5600.
What is Vivian Watters's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Vivian Watters enrolled in Medicare?
Yes. Vivian Watters is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Vivian Watters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Watters reassigns Medicare benefits to Nexumhc Consultants, PLLC (Lincolnwood, IL). The 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 Vivian Watters'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 Vivian Watters was last updated on October 8, 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.
# Vivian E Watters · NPI 1962164723
Social Worker provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since October 8, 2021.
## Identity
- **NPI:** 1962164723 (Entity type: Individual)
- **Enumerated:** October 8, 2021
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** LMSW6921T (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 303 S RECKER RD LOT 47, Mesa, AZ 85206-6077
- **Phone:** (480) 295-5600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nexumhc Consultants, PLLC (NPI 1851082598, Lincolnwood, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962164723) · Data from the CMS NPPES public registry.