MRS. SHADRIENNE NIKEIA WILLIAMS – Medical Physician Assistant, NPI 1023285509
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 PHYSICIAN ASSISTANT in DE
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Provider Addresses for MRS. SHADRIENNE NIKEIA WILLIAMS
4923 OGLETOWN STANTON RD
SUITE 200
NEWARK, DE 197132081
Phone: (302) 225-0451
Fax: (302) 225-0472
Type: Mailing
748, South New Street, Morris Estates, Dover, Kent County, Delaware, 19904, United States
SUITES C & D
DOVER, DE 199043573
Phone: (302) 734-3227
Fax: (303) 734-0391
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $208.
Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($48).
Total Amount
$208
General + Research + Ownership
Payments
10
Total payment records
General Amount
$208
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081206000083 | I | Physician Assistant | DE | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 149 | 11 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 39 | 22 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 14 | 12 | $0 |
Insurance plans in this area (ZIP 19713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | DE | |
| - | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nephrology, Internal Medicine | DE | |
| Nephrology, Internal Medicine | NY | |
| Nurse Practitioner | DE | |
| - | DE | |
| Nephrology, Internal Medicine | DE | |
| - | DE |
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