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Active NPI 1235760166 Individual Practitioner Female Practitioner

Mary Jo Watterson , FNP-C

Nurse Practitioner • Durham, NC

Professional Overview & Biography Verified Profile Summary

Mary Watterson, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Durham, NC. Practice services are available at 2511 OLD CORNWALLIS RD STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include established patient assisted living visit, residence visit for established patient with high level of medical decision making, per day, if using time, at least, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2511 Old Cornwallis Rd Ste 200

Durham, NC 277131869

Telephone 9199325700
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Durham, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
280 Specialists

Practicing in Durham, NC (4565 Statewide)

Telehealth Adoption Rate
23.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes
190 71 $190.28 $159.72
99336 Established patient assisted living visit, typically 40 minutes
49 34 $131.67 $111.56
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
22 16 $175.10 $147.21

Medical Specialties & State Licenses

CMS Verified: 2020-02-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5012779

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
14612409 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Andrea Gilroy , DPM

Family Medicine - Geriatric Medicine

NPI 1013265495

Doctor of Podiatric Medicine

Kayleigh Leonard , FNP-BC

Nurse Practitioner - Family

NPI 1033610571

Family Nurse Practitioner (Board Certified)

Dr. Alan Kronhaus , MD

Internal Medicine

NPI 1043656846

Doctor of Medicine (M.D.)

Dr. Stephanie Perry , MD

Internal Medicine

NPI 1083796262

Doctor of Medicine (M.D.)

Carla Andersson

Social Worker - Clinical

NPI 1093279416
Latoya Niles , PA-C

Physician Assistant

NPI 1093882532

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2020

Registered at 2511 OLD CORNWALLIS RD STE 200, DURHAM, NC 277131869 (Tel: 9199325700)

📍
Updated Business Mailing Address February 10, 2020

Registered at 411 W 18TH ST, LUMBERTON, NC 283584514 (Tel: 9102589467)

👤
Provider Name / Credentials Updated February 10, 2020

Recorded as MARY WATTERSON, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2020

Nurse Practitioner (License #5012779 in NC)

🟢
Initial NPI Registration & Enumeration January 29, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235760166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2020
Last Update: February 10, 2020
Sole Proprietor: No

Mailing Address

411 W 18th St

Lumberton, NC 283584514

Phone: 9102589467

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.