Marvin Ray Watson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

777525 Issued in TX

Practice address

3525 FM 1960 Rd E
Humble, TX 77338-5317

Phone

(281) 540-1018

Fax

(281) 540-7581

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marvin Ray Watson Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyler Internal Medicine Associates, P.aGroup PAC ID 3476541731, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marvin.watson@tima.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ADCFBA

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.

• Tyler Internal Medicine Associates, P.a.

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1770695850
  Medicare reassignment Care Compare group NPD
• Watson'S Wellness Center, Inc.

  • Chiropractor
  • Humble, TX
  • NPI 1790971448
  NPD Authorized official
• R & M Wellness PLLC

  • Preferred Provider Organization
  • Whitehouse, TX
  • NPI 1225571334
  NPD (past)

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

• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1649298175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385317",
            "telephone_number": "281-540-1018",
            "fax_number": "281-540-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385317",
            "telephone_number": "281-540-1018",
            "fax_number": "281-540-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARVIN",
        "middle_name": "RAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "777525",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8A8125",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "WATSON",
            "middle_name": "RAY",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ava Kristine Washko, DPM
• Kenneth A Watkins, LCSW
• Sheena Watkins, LPC
• Eshana Sherri Watson-Gholar, LCSW
• Kara Watson
• Watson'S Wellness Center, Inc.
• Ways Counseling, PLLC
• Benjamin Wayumba
• Bret Lee Weathers, M.D.
• Adonna Weaver

• Family Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.