Individual provider Active NPI

Katherine Edney Watson, FNP-C

  • Family Nurse Practitioner
  • Chesterton, IN
National Provider Identifier
1174130611
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010412A Issued in IN
Practice address
770 Indian Boundary Rd Ste 200
Chesterton, IN 46304-1519
Phone
(219) 921-2000
Fax
(219) 395-8770
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 71010412A IN Primary

Addresses

Primary practice location

770 Indian Boundary Rd Ste 200
Chesterton, IN 46304-1519

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240-7766
Phone (844) 753-3314

Other names 1

  • Katherine Ann Edney Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kwatson588501@Direct.FranciscanAlliance.org Direct
Direct Messaging Address kwatson588501@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20201014001378 IN Practitioner - Nurse Practitioner 0446670319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1300 Lincolnway
Valparaiso, IN 46383-5824

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

8955 W 400
Michigan City, IN 46360-9330
Phone (219) 861-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010412AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jun 20, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Jun 20, 2021 Accepting new patients

Locations

770 Indian Boundary Rd
Ste 200
Chesterton, IN 46304
Phone (219) 921-2000

770 Indian Boundary Rd
Ste 203
Chesterton, IN 46304
Phone (219) 878-8200

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

8955 W 400 N
Michigan City, IN 46360
Phone (219) 861-5800

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: kwatson588501@direct.franciscanalliance.org

Organizations & group practices 4

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 6

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1174130611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 INDIAN BOUNDARY RD STE 200",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041519",
            "telephone_number": "219-921-2000",
            "fax_number": "219-395-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 River Crossing Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462407766",
            "country_code": "US",
            "telephone_number": "844-753-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KATHERINE",
        "middle_name": "EDNEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010412A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwatson588501@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8955 W 400 N",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463609330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwatson588501@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "770 Indian Boundary Rd Ste 203",
            "city": "Chesterton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463041519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "EDNEY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.