Individual provider Active NPI

Charla M Watkins, DNP, FNP-BC, BC

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1881994440
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003468 Issued in AR
Practice address
4125 E Mission Blvd
Fayetteville, AR 72703-4388
Phone
(479) 485-3322
Fax
(833) 540-4646
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RO51515 AR
Psychiatric/Mental Health Registered Nurse 163WP0808X A003468 AR
Family Nurse Practitioner 363LF0000X A003468 AR Primary

Addresses

Primary practice location

4125 E Mission Blvd
Fayetteville, AR 72703-4388

Mailing address

4125 E Mission Blvd
Fayetteville, AR 72703-4388
Phone (479) 485-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150205001674 AR Practitioner - Nurse Practitioner 3476878869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watkins Family Health and Counseling, IncGroup PAC ID 8123388311, 2 clinicians

Practice addresses (Care Compare)

4125 E Mission Blvd
Suite 1And2
Fayetteville, AR 72703-4388
Phone (479) 485-3322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A003468ARMDPsychiatric/Mental Health Registered Nurse
RO51515ARMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Watkins Family Health & Counseling, Inc. Current Accepting new patients
My Psych Health LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

825 Highway 71 N
Ste O
Alma, AR 72921
Phone (479) 276-5020

3810 N Front St
Ste 11
Fayetteville, AR 72703
Phone (479) 387-4200

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.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1881994440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034388",
            "telephone_number": "479-485-3322",
            "fax_number": "833-540-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034388",
            "telephone_number": "479-485-3322",
            "fax_number": "833-540-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CHARLA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AR",
            "license": "RO51515",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003468",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.