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JENNIFER JEAN WATTERS MD, DPT
NPI 1962618108
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 15, 2007PECOS Enrolled
1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202(317) 962-8881 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Jun 30, 2025 (2 updates tracked since 2025).

About Jennifer Jean Watters Md, Dpt NPPES

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

JENNIFER JEAN WATTERS MD, DPT (NPI 1962618108) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11024258A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962618108
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER JEAN WATTERSCredential: MD, DPT
Location Address1633 N CAPITOL AVE STE 640Indianapolis, IN 46202-1281
Mailing Address1633 N Capitol Ave Ste 640Indianapolis, IN 46202-1281 · (317) 962-8881
Phone(317) 962-8881
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1962618108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 11024258A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1633 N CAPITOL AVE STE 640, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Jean Watters Md, Dpt 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.

Other Providers at the Same Location NPPES 20

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

MYCHAEL SPENCER
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881
SAAD KAMRAN MD
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881
SAMANTHA JO ZAKROWSKI
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881
VALERIYA SKOROBOGATKO MD
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881
MR. JOSEPH ANDREW MADDEN MD
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881
REBECCA COLWELL MD
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881
KAYLA LEE CLODFELTER MD
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881
JOSEPHINE MCQUILLAN MD
Student in an Organized Health Care Education/Training Program
1633 N CAPITOL AVE STE 640
INDIANAPOLIS, IN 46202
Marion County (317) 962-8881

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 Jennifer Watters's NPI number?

The NPI number for Jennifer Watters is 1962618108. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Jennifer Watters located?

Jennifer Watters practices at 1633 N Capitol Ave Ste 640, Indianapolis, IN 46202. The listed phone number is (317) 962-8881.

What is Jennifer Watters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Watters enrolled in Medicare?

Yes. Jennifer Watters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Watters was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.