Individual provider Active NPI

Susan Lee Watkins, FNP

  • Family Nurse Practitioner
  • Medford, OR
National Provider Identifier
1790774537
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200350114NP FNP PP Issued in OR
Practice address
707 Murphy Rd
Medford, OR 97504-8425
Phone
(541) 890-8900
Fax
(541) 622-8901
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 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 Nurse Practitioner 363LF0000X 200350114NP FNP PP OR Primary

Addresses

Primary practice location

707 Murphy Rd
Medford, OR 97504-8425

Mailing address

707 Murphy Rd
Medford, OR 97504-8425
Phone (541) 622-8900

Other identifiers 2

IdentifierTypeStateIssuer
082010084RNOtherOROREGON LICENSE NUMBER
200350114NPOtherOROREGON BOARD OF NURSING LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040129000228 OR Practitioner - Nurse Practitioner 1951204700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint Replacement Center LLCGroup PAC ID 3779972161, 11 clinicians

Practice addresses (Care Compare)

707 Murphy Rd
Medford, OR 97504-8520
Phone (541) 622-8900

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200350114NP FNP PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Joint Replacement Center LLC CurrentSince Mar 1, 2022 Accepting new patients
Oregon Surgical Specialists PC PastSince Jan 1, 1998 Accepting new patients
Advanced Joint Replacement Center of Southern Oregon Past Accepting new patients

Locations

1401 Siskiyou Blvd
Ste 5
Ashland, OR 97520
Phone (541) 488-4325

70 Bower Dr
Medford, OR 97501
Phone (541) 732-8360

707 Murphy Rd
Medford, OR 97504
Phone (541) 622-8900

Interoperability endpoints

  • Direct secure messaging: susan.watkins.1@32494.direct.athenahealth.com

Organizations & group practices 3

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1790774537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048425",
            "telephone_number": "541-622-8900",
            "fax_number": "541-622-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048425",
            "telephone_number": "541-890-8900",
            "fax_number": "541-622-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200350114NP FNP PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE NUMBER",
            "identifier": "082010084RN",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF NURSING LICENSE NUMBER",
            "identifier": "200350114NP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.