MS. JASMINE WILLIAMS (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1093404048

MS. JASMINE WILLIAMS (AGACNP-BC) is a healthcare provider. based in Irvine, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. PENDING (OH). The NPI Number for MS. JASMINE WILLIAMS (AGACNP-BC) is 1093404048

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. JASMINE WILLIAMS (AGACNP-BC)
NPI
1093404048
Phone
(216) 832-3388
Address
17321 MURPHY AVE APT 318
Enumeration Date
4 May 2023
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3109008900
Graduation Year
2022 (4 years ago)
PAC ID
4385081389
Group Practice PAC ID
0547366106
Professional Enrollment ID
I20240326003837
Address ID
CA902622609LY3630XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:3State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MS. JASMINE WILLIAMS (AGACNP-BC)

  • 17321 MURPHY AVE APT 318

    IRVINE, CA 926148913

    Phone: (216) 832-3388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Integra LifeSciences Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240326003837INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547366106View full group profile
NameSpecialtyState
Critical Care (Intensivists)CA
Osteopathic Manipulative Medicine, Vascular SurgeryAZ
General SurgeryCA
General Surgery, Surgical OncologyCA
Critical Care (Intensivists), General SurgeryCA
General Surgery, Critical Care (Intensivists)CO
General Surgery, Critical Care (Intensivists)CA
Vascular Surgery, General SurgeryCA
Critical Care (Intensivists), General SurgeryDC
General SurgeryCA

Reviews

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Frequently asked questions

Can I verify MS. JASMINE WILLIAMS (AGACNP-BC) with an NPI only?
You can start verification with NPI 1093404048 for MS. JASMINE WILLIAMS (AGACNP-BC), then check state licensing separately.
Does the file indicate MS. JASMINE WILLIAMS (AGACNP-BC) is practicing under active NPI?
Directory data currently reports MS. JASMINE WILLIAMS (AGACNP-BC) as active.
What taxonomy line describes MS. JASMINE WILLIAMS (AGACNP-BC)?
For research purposes, treat MS. JASMINE WILLIAMS (AGACNP-BC) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MS. JASMINE WILLIAMS (AGACNP-BC) list a practice location?
Patients near Irvine, California may find MS. JASMINE WILLIAMS (AGACNP-BC) in results; validate coverage separately.
Why does MS. JASMINE WILLIAMS (AGACNP-BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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