Individual provider Active NPI

Victoria Catherine Watters, MD

  • Family Medicine Physician
  • Prudenville, MI
National Provider Identifier
1689163107
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301114542 Issued in MI
Practice address
2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone
(989) 366-2900
Fax
(989) 366-1166
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 4301114542 MI Primary

Addresses

Primary practice location

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624

Mailing address

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900

Other practice location 1

829 N Center Ave Ste 210
Gaylord, MI 49735-1599
Phone (989) 731-7860

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vfrancis@direct.mhc.net
Direct Messaging Address vwatters@mhc.net

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601002614 MI Practitioner - Family Practice 4981969052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oakland Univ, William Beaumont School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

1622 Dickerson Rd
Gaylord, MI 49735-9206

1996 Walden
Otsego County Memorial Hospital
Gaylord, MI 49735
Phone 51773141111

2585 W Houghton Lake Dr
Prudenville Community Health Center
Prudenville, MI 48651-9624
Phone (989) 366-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling CurrentSince Jul 1, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jul 8, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Healthcare Grayling CurrentSince Jul 1, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jul 8, 2024 Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

3778 Momentum Pl
Chicago, IL 60689

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: vfrancis@direct.mhc.net
  • Direct secure messaging: vwatters@direct.mhc.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prudenville Community Health CenterPrudenville, MI, CCN 238562 Rural health clinic W-2 Managing Employee Aug 2, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1689163107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519624",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519624",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Center Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351599",
            "country_code": "US",
            "telephone_number": "989-731-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "VICTORIA",
        "middle_name": "CATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301114542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vfrancis@direct.mhc.net",
            "affiliation": "N",
            "address_1": "2585 W Houghton Lake Dr",
            "city": "Prudenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486519624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vwatters@mhc.net",
            "affiliation": "N",
            "address_1": "11654 N Cut Rd",
            "city": "Roscommon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486539340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prudenville, MI

Sources for this page

Verify at the official NPI Registry.