Individual provider Active NPI

Michelle Noel Watson, CNS

  • Adult Health Clinical Nurse Specialist
  • Wichita Falls, TX
National Provider Identifier
1982982609
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
253132 Issued in TX
Practice address
4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone
(940) 691-0985
Fax
(940) 687-4616
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 253132 TX Primary

Addresses

Primary practice location

4909 Johnson Rd
Wichita Falls, TX 76310-2547

Mailing address

6606 David St
Wichita Falls, TX 76310-2002
Phone (940) 691-0985

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
I20150219001825 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 8426373218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of Wichita Falls, Inc.Group PAC ID 2264450428, 5 clinicians

Practice addresses (Care Compare)

4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone (940) 691-0982

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
253132TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Wichita Falls, Inc. CurrentSince Dec 28, 2015 Accepting new patients

Locations

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

5402 Kell Blvd
Wichita Falls, TX 76310

4909 Johnson Rd
Wichita Falls, TX 76310
Phone (940) 691-0982

5400 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 689-2632

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

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 1

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1982982609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 DAVID ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102002",
            "telephone_number": "940-691-0985",
            "fax_number": "940-687-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 JOHNSON RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102547",
            "telephone_number": "940-691-0985",
            "fax_number": "940-687-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHELLE",
        "middle_name": "NOEL",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "253132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.