Individual provider Active NPI

Nicholas Watkins, DO

  • Family Medicine Physician
  • Avon, IN
National Provider Identifier
1548965536
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02009240A Issued in IN
Practice address
301 Satori Pkwy Ste 200
Avon, IN 46123-6407
Phone
(317) 271-6363
Fax
(317) 271-7600
NPI assigned
Mar 31, 2023
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02009240A IN Primary

Addresses

Primary practice location

301 Satori Pkwy Ste 200
Avon, IN 46123-6407

Mailing address

1000 E Main St
Danville, IN 46122-1948
Phone (317) 837-5566

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwatkins473964@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230611000122 IN Order and Referring Only - Family PracticePractitioner - Family Practice 5597122200

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: nwatkins2736002@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1548965536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221948",
            "telephone_number": "317-837-5566",
            "fax_number": "317-718-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SATORI PKWY STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236407",
            "telephone_number": "317-271-6363",
            "fax_number": "317-271-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "NICHOLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02009240A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwatkins473964@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "301 Satori Pkwy Ste 200",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.