Individual ProviderKristin WattsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265(316) 616-1055PECOS EnrollmentBased on the most recent information from CMS, provider Kristin Watts is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376965723Provider TypeIndividualFull NameWatts, KristinCredentialAPRN, FNP-CGenderFemaleSole ProprietorNoEnumeration Date1/19/2014Last Updated1/11/2023Contact InformationPractice LocationPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055FaxUnlisted FaxMailing LocationMailing Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense79194KansasCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense13105091092Kansas