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

Marie Annette Watson

Individual provider Physician Assistant · NPI 1649656059

Marie Annette Watson is a Physician Assistant in Ypsilanti, Michigan. Qualified in 2015, 11 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
11
Licensed in
IL, MI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-8676
Fax: (734) 712-3855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008091 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 085005540 (IL)

Record details

NPI number1649656059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2015
Last updated in NPPESSeptember 11, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ypsilanti