KERRI WILLIAMSON (PA-C) – Physician Assistant, NPI 1508332149
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 KERRI WILLIAMSON (PA-C)
Magnolia, Elaine, Phillips County, Arkansas, 72389, United States
MAGNOLIA, DE 199624625
Phone:
Type: Mailing
Forrest Avenue, Woodstock Court, Dover, Kent County, Delaware, 19904, United States
DOVER, DE 199043483
Phone: (302) 346-0100
Type: Location
1125 Forrest Ave Ste 203
Dover, DE 199043483
Phone: (302) 346-0100
Type: Location
20 HIDDEN HILLS DR
SEAFORD, DE 199738034
Phone:
Type: Mailing
333 1ST ST STE A
SAN FRANCISCO, CA 941052661
Phone: (302) 386-7767
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240607003329 | I | Physician Assistant | CA | TBD |
| I20251104000247 | I | Physician Assistant | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19962)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | TX | |
| Physician Assistant | CA | |
| Physician Assistant | AZ | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | NY | |
| Family Practice | CT | |
| Nurse Practitioner | CA |
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