NICOLE WILLIAMS – Psychiatric/Mental Health Nurse Practitioner, NPI 1659830107
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for NICOLE WILLIAMS
150 MAGNOLIA AVE
DAYTONA BEACH, FL 321144304
Phone: (386) 236-3215
Fax: (386) 236-3178
Type: Mailing
1220 WILLIS AVE
DAYTONA BEACH, FL 321142810
Phone: (800) 539-4228
Type: Location
140, 23rd Avenue North, Nashville, Davidson County, Tennessee, 37203, United States
NASHVILLE, TN 372031536
Phone: (615) 320-8887
Fax: (615) 342-6844
Type: Mailing
301 Justice Ln
Bunnell, FL 321104487
Phone: (800) 539-4228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,417.
Total Amount is formed as General ($1,417) + Research ($0) + Ownership ($0) = $1,417.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($387).
Total Amount
$1,417
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,417
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $387 |
| ITI, Inc. | $220 |
| E.R. Squibb & Sons, L.L.C. | $183 |
| Indivior Inc. | $158 |
| Otsuka America Pharmaceutical, Inc. | $152 |
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: 2022-02-04
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 |
|---|---|---|---|---|
| I20220204000859 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 17 | $0 |
Insurance plans in this area (ZIP 32114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | MA | |
| - | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL |
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