Individual provider Active NPI

Jordyn Liliana Watts, DO

  • Emergency Medicine Physician
  • Joplin, MO
National Provider Identifier
1215673249
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2023041368 Issued in MO
Practice address
1130 E 32ND St
Joplin, MO 64804-4034
Phone
(417) 347-2273
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2023041368 MO Primary

Addresses

Primary practice location

1130 E 32ND St
Joplin, MO 64804-4034

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111

Other practice location 2

1636 S Madison St
Webb City, MO 64870-2902
Phone (417) 347-2273

Other practice location 3

3125 Dr Russell Smith Way
Carthage, MO 64836-7402
Phone (417) 358-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212002059 MO Practitioner - Emergency Medicine 8022451558 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Mercy Hospital CarthageGroup PAC ID 8426225251, 23 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300

3125 Dr Russell Smith Way
Mercy Hospital Carthage Anesthesia
Carthage, MO 64836-7402
Phone (417) 359-2691

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Hospital & facility affiliations

  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System CurrentSince Jan 11, 2024 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jan 11, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Aug 16, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Aug 16, 2024 Accepting new patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Mercy Hospital Carthage Emergency Medicine CurrentSince Jul 21, 2025 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Jan 8, 2026 Accepting new patients
Mercy Hospital Carthage CurrentSince Jul 21, 2025 Accepting new patients

Locations

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

1636 S Madison St
Webb City, MO 64870
Phone (417) 347-2273

Organizations & group practices 8

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 5

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1215673249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044034",
            "telephone_number": "417-347-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1636 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Webb City",
            "state": "MO",
            "postal_code": "648702902",
            "country_code": "US",
            "telephone_number": "417-347-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 Dr Russell Smith Way",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MO",
            "postal_code": "648367402",
            "country_code": "US",
            "telephone_number": "417-358-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JORDYN",
        "middle_name": "LILIANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2023041368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.