JODY WILLIAMS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1295146090

JODY WILLIAMS (CRNA) is a healthcare provider. based in Waterbury, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R54831 (CT). The NPI Number for JODY WILLIAMS (CRNA) is 1295146090

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JODY WILLIAMS (CRNA)
NPI
1295146090
Phone
(860) 985-0777
Address
37 CREST ST
Enumeration Date
14 May 2014
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035737280
Graduation Year
2014 (12 years ago)
PAC ID
9830414184
Group Practice PAC ID
1759755416
Professional Enrollment ID
I20150210000125
Address ID
CT067082613WA64XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for JODY WILLIAMS (CRNA)

  • 37 CREST ST

    WATERBURY, CT 067082806

    Phone: (860) 985-0777

    Type: Mailing

  • 100 WESTRIDGE DR

    WATERBURY, CT 067083337

    Phone: (860) 985-0777

    Type: Location

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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$22
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: 2015-02-10

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
I20150210000125ICertified Registered Nurse Anesthetist (Crna)CTTBD

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 06708)

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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: 1759755416View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Pain Management, AnesthesiologyMA
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

What is JODY WILLIAMS (CRNA)'s NPI number?
JODY WILLIAMS (CRNA)'s NPI is 1295146090 — the number used across U.S. healthcare to identify this provider.
Would JODY WILLIAMS (CRNA) appear as active to a payer?
You can treat JODY WILLIAMS (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JODY WILLIAMS (CRNA)?
JODY WILLIAMS (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Connecticut is JODY WILLIAMS (CRNA) registered?
Use Waterbury, Connecticut as the headline location for JODY WILLIAMS (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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