Kelly M Watson, FNP - Medicare Nurse Practitioner in Bolivar, MO

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Kelly M Watson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bolivar, Missouri. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Citizens Memorial Healthcare and her current practice location is 1500 N Oakland Ave, Bolivar, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 328-4201.

Kelly M Watson is licensed to practice in Missouri (license number 2016007903) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154711265.

Contact Information

Kelly M Watson, FNP
1500 N Oakland Ave,
Bolivar, MO 65613-3099
(417) 328-4201
(417) 326-3939

Map and Direction




Provider's Profile

Full NameKelly M Watson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1500 N Oakland Ave, Bolivar, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly M Watson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1154711265
  • Provider Enumeration Date: 01/27/2015
  • Last Update Date: 01/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1951627694
  • Enrollment ID: I20160504001148

Medical Identifiers

Medical identifiers for Kelly M Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154711265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2016007903 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Citizens Memorial Healthcare4183528169108

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly M Watson allows following entities to bill medicare on her behalf.
Entity NameCitizens Memorial Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly M Watson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly M Watson, FNP
22742 Midland Dr,
Shawnee, KS 66226-3553

Ph: (913) 441-2293		Kelly M Watson, FNP
1500 N Oakland Ave,
Bolivar, MO 65613-3099

Ph: (417) 328-4201

Reviews and Comments


Nurse Practitioner Nurses in Bolivar, MO

Kathryn Elsie Johnson, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1195 N Oakland Ave Ste 2, Bolivar, MO 65613
Phone: 417-777-2121    
Kyla Inman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    
Angel Joy-marie Seufert, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    Fax: 417-326-6347
Oma L Shelton, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613
Phone: 417-777-4800    
Kaylee Jaynelle Ankrom,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613
Phone: 417-326-7676    
Courtney Marie Brummel, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613
Phone: 417-326-7814    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.