Individual provider Active NPI

Alicia D Watkins, APRN

  • Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1174237697
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114396 Issued in NE
Practice address
4107 7TH Ave
Kearney, NE 68845-1312
Phone
(308) 236-8500
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114396 NE Primary

Addresses

Primary practice location

4107 7TH Ave
Kearney, NE 68845-1312

Mailing address

715 Williams Dr
Elm Creek, NE 68836-1551
Phone (308) 340-5373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20230223002831 NE Practitioner - Nurse Practitioner 7517330442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Eye Centers IncGroup PAC ID 0648602284, 19 clinicians

Practice addresses (Care Compare)

4107 7TH Ave
Kearney, NE 68845-1312
Phone (308) 236-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
97.77
Improvement activities
40
Cost
56.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114396NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Eye Centers Inc Current Accepting new patients
Unity Eye Centers Inc CurrentSince Jul 1, 2024 Accepting new patients
Lind Eye Care PC CurrentSince Nov 5, 2022 Accepting new patients
Unity Eye Centers Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

4107 7th Ave
Kearney, NE 68845
Phone (308) 236-8500

3610 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1174237697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WILLIAMS DR",
            "city": "ELM CREEK",
            "state": "NE",
            "postal_code": "688361551",
            "telephone_number": "308-340-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 7TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451312",
            "telephone_number": "308-236-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.