Fanae Watson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2019003239 Issued in MO

Practice address

1418 McCoy Dr
Harrison, AR 72601-2411

Phone

(870) 754-3347

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Harrison, AR, CCN 047803
• Elite Home Health Home health agency, Harrison, AR, CCN 047134
• North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Watsons Family Medical Clinic

  • Primary Care Clinic/Center
  • Harrison, AR
  • NPI 1790341303
  Medicare reassignment Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eureka Springs Hospital Homecare, LLC

  dba Elite Home Health

  • Home Health Agency
  • Harrison, AR
  • NPI 1427185149
  Care Compare affiliation
• Kah Development 4, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Harrison, AR
  • NPI 1003266024
  Care Compare affiliation
• North Arkansas Regional Medical Center

  dba Emergency Medical Service Pro Fee

  • Land Ambulance
  • Harrison, AR
  • NPI 1013907682

  Hospital

  Care Compare affiliation
• North Arkansas Regional Medical Center

  • General Acute Care Hospital
  • Harrison, AR
  • NPI 1275523912
  Care Compare affiliation

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1417315318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MCCOY DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012411",
            "telephone_number": "870-754-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MCCOY DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012411",
            "telephone_number": "870-754-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "FANAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019003239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Regional Medical System (Walker Heart Institute Harrison Cardiology Clinic)
• Washington Regional Medical System (Crossroads Medical Clinic - Washington Regional)
• Washington Regional Medical System (Harrison Family Practice Clinic - Washington Regional)
• James D Waters, MD
• Mattie Elizabeth Watkins
• Watsons Family Medical Clinic
• Judy Wharff, MHPP
• Jeffrey Zack Wheeler, PHARMD
• John Matthew White
• Shaleena Rae White

• Family Nurse Practitioner in Harrison, AR
• Providers in Harrison, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.