Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mia Watkins

Individual provider Nurse Practitioner · NPI 1043888076

Mia Watkins is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

9831 S Western Ave
Chicago, IL 60643-1740
Phone: (773) 445-3500
Fax: (773) 881-5259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209023278 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209023278 (IL)

Record details

NPI number1043888076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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