Elyse A Watkins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704304338 Issued in MI

Practice address

2469 W Hill Rd
Flint, MI 48507-3883

Phone

(810) 407-6039

Fax

(810) 407-8834

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hazel Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Hazel Park, MI
  • NPI 1477991545
  Medicare reassignment NPD
• Jawad Agha MD PC

  • Internal Medicine Physician
  • Franklin, MI
  • NPI 1912309931
  Medicare reassignment NPD
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1871645309
  NPD (past)

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1467145474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19671 IRONWOOD CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672514",
            "telephone_number": "248-840-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 W HILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073883",
            "telephone_number": "810-407-6039",
            "fax_number": "810-407-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ELYSE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704304338",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amtul Azeem Wasiya, MD
• Janeatha Waters
• John A Waters, MD
• Nikayla Waters
• Fatima Waterson
• Margaret Watkins, LMSW
• Regina Watkins, LPN
• Barbara Watson, CRNA
• Brett Watson, MD
• Chester Watson III, HS

• Family Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.