Individual provider Active NPI

Carrie Michelle Watson, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1700513504
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1074025 Issued in TX
Practice address
4507 Santa Rosa Dr
Midland, TX 79707-2260
Phone
(432) 683-8516
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1074025 TX Primary

Addresses

Primary practice location

4507 Santa Rosa Dr
Midland, TX 79707-2260

Mailing address

4507 Santa Rosa Dr
Midland, TX 79707-2260
Phone (432) 318-3188

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Midland Other

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221003000015 TX Practitioner - Nurse Practitioner 8123404910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

4507 Santa Rosa Dr
Midland, TX 79707-2260
Phone (432) 221-1522

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Midland, TX, CCN 677864
  • Encompass Health Home Health Home health agency, Midland, TX, CCN 678352
  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1074025TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

4507 Santa Rosa Dr
Midland, TX 79707
Phone (432) 231-0100

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • Direct secure messaging: carrie.watson.1@3522.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1700513504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 SANTA ROSA DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072260",
            "telephone_number": "432-318-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 SANTA ROSA DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072260",
            "telephone_number": "432-683-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CARRIE",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Midland",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Midland",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Midland",
            "address_1": "2402 Fairview Ln",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797052619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.