Individual provider Active NPI

Roberta Michelle Watts, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1104254572
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15297 Issued in OH
Practice address
421 Georgesville Rd
Columbus, OH 43228-2420
Phone
(614) 272-7700
Fax
(855) 618-2145
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.15297 OH Primary

Addresses

Primary practice location

421 Georgesville Rd
Columbus, OH 43228-2420

Mailing address

421 Georgesville Rd
Columbus, OH 43228-2420
Phone (614) 272-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218000134 OH Practitioner - Nurse Practitioner 1254560238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

421 Georgesville Rd
Columbus, OH 43228-2420
Phone (614) 425-7968

Hospital & facility affiliations

  • Doctors Hospital Hospital, Columbus, OH, CCN 360152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15297OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Galaxy Health Family Practice, LLC Family CurrentSince Jul 1, 2021 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Dec 31, 2013 Accepting new patients

Locations

421 Georgesville Rd
Columbus, OH 43228
Phone (614) 272-7700

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

Interoperability endpoints

  • Direct secure messaging: roberta.watts@ghfp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBFCD/Endpoint/CFBFCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1104254572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282420",
            "telephone_number": "614-272-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282420",
            "telephone_number": "614-272-7700",
            "fax_number": "855-618-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ROBERTA",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.