William Ray Watkins Jr., RN, MSN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

80052 Issued in WV

Practice address

214 Hanging Rock Hwy
Logan, WV 25601-5102

Phone

(304) 784-5404

NPI assigned

Nov 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Family Medicine LLCGroup PAC ID 6406292283, 2 clinicians

Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117
  Medicare reassignment Care Compare group NPD
• Legacy Family Medicine LLC

  • Family Medicine Physician
  • West Logan, WV
  • NPI 1043967466
  Medicare reassignment Care Compare group NPD
• Cherokee Emergency Services, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1982643938
  Medicare reassignment NPD
• Health Care Alliance, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1730128760
  Medicare reassignment NPD
• Healthy Habits Wellness Ctr, Inc

  • General Practice Physician
  • Logan, WV
  • NPI 1659323665
  Medicare reassignment NPD
• Mountaineer Family Medicine, Inc.

  • Family Medicine Physician
  • Charleston, WV
  • NPI 1295874436
  Medicare reassignment NPD
• Spradling Medical & Treatment LLC

  • Family Medicine Physician
  • Hurricane, WV
  • NPI 1902580780
  NPD (past)

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542412800000",
    "number": "1104395375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HANGING ROCK HWY",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256015102",
            "telephone_number": "304-784-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HANGING ROCK HWY",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256015102",
            "telephone_number": "304-784-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "RN, MSN, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-17",
        "last_updated": "2018-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "80052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waris Ali Waris
• Christy Watkins
• Crystal Watkins, RN, BSN, MSN, FNP-BC
• Jessica Elaine Watkins
• Loretta Watkins
• Darcy Lynn Watts
• Cynthia Waugh
• Linda Wells
• West Logan Primary Care LLC
• West Virginia Heart & Vascular Institute Logan Inc

• Family Nurse Practitioner in Logan, WV
• Providers in Logan, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.