Holli Watkin, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201909639NP-PP Issued in OR

Practice address

1601 Monmouth St Ste 100
Independence, OR 97351-1019

Phone

(503) 838-0045

NPI assigned

Oct 29, 2012

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD, OR2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kidney Care Physicians LLCGroup PAC ID 0840283511, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051
• Salem Health West Valley Hospital, Dallas, OR, CCN 381308
• Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hwatkin237338@direct.salemhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidney Care Physicians LLC

  • Nephrology Physician
  • Salem, OR
  • NPI 1467672261
  Medicare reassignment Care Compare group NPD
• Monument Health Rapid City Hospital, Inc

  dba Monument Health Behavioral Health Center

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment NPD
• Monument Health Rapid City Hospital Inc

  dba Monument Health Rapid Valley Clinic

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1215727854
  NPD
• Monument Health Rapid City Hospital, Inc.

  dba Monument Health Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rapid City, SD
  • NPI 1487621116
  NPD
• Salem Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Salem, OR
  • NPI 1649221813
  NPD (past)
• Sanford Health

  • Clinic/Center
  • Rapid City, SD
  • NPI 1528313657
  NPD (past)

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

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486
  Care Compare affiliation
• Santiam Memorial Hospital

  • General Acute Care Hospital
  • Stayton, OR
  • NPI 1154302214
  Care Compare affiliation
• Santiam Memorial Hospital

  • Ambulance
  • Stayton, OR
  • NPI 1962566752

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851645931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 BELLINGHAM DR",
            "city": "SUMMERSET",
            "state": "SD",
            "postal_code": "577189271",
            "telephone_number": "605-890-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONMOUTH ST STE 100",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973511019",
            "telephone_number": "503-838-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKIN",
        "first_name": "HOLLI",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-03-07",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201909639NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500772076",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urrutia Holdings LLC (PerformX Physical Therapy)
• Dalton J Urrutia, PT
• Andrew Vanderwall
• Sarah Marie Vanselow, DC
• Amanda Vitelli, RN
• Keith Allen White, MD
• Kenneth R Winokur, DMD
• Tracy Wolf
• Cari Woods
• WVP Medical Group, LLC (WVP Independence Monmouth)

• Family Nurse Practitioner in Independence, OR
• Providers in Independence, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.