Individual provider Active NPI

Trevor Watson, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1295064665
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0994999-NP Issued in CO
Practice address
1217 Riverside Ave
Fort Collins, CO 80524-3218
Phone
(970) 494-4200
Fax
(970) 221-7114
NPI assigned
Dec 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1664145 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0994999-NP CO Primary

Addresses

Primary practice location

1217 Riverside Ave
Fort Collins, CO 80524-3218

Mailing address

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540
Phone (970) 494-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190912002054 CO Practitioner - Nurse Practitioner 3779852256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health SolutionsGroup PAC ID 0143110668, 39 clinicians

Practice addresses (Care Compare)

1302 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

1304 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

1310 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

41 Montebello Rd
Pueblo, CO 81001-1366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1664145COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions CurrentSince May 14, 2024 Accepting new patients

Locations

41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500

41 Montebello Rd
Ste 104
Pueblo, CO 81001

1310 Chinook Ln
Pueblo, CO 81001

41 Montebello Rd
Ste 100
Pueblo, CO 81001

1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207

1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222

41 Montebello Rd
Lowr LL1
Pueblo, CO 81001

41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341

417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416

926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1295064665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 INNOVATION DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255540",
            "telephone_number": "970-494-4200",
            "fax_number": "970-613-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 RIVERSIDE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243218",
            "telephone_number": "970-494-4200",
            "fax_number": "970-221-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1664145",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994999-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.