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

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

Practice location Address checks out

9831 S Western Ave
Chicago, IL 60643-1740
Phone: (773) 445-3500
Fax: (773) 881-5259
Show map & directions

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
Mailing address9831 S Western Ave, Chicago, IL 60643-1740

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

Other providers in Chicago