JONATHAN KEITH WILLIAMS (NP) – Family Nurse Practitioner, NPI 1821253683
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
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Provider Addresses for JONATHAN KEITH WILLIAMS (NP)
3910 WASHINGTON PARKWAY
IDAHO FALLS, ID 834047596
Phone: (208) 523-1122
Fax: (208) 523-2582
Type: Mailing
1441, Parkway Drive, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832211667
Phone: (208) 785-2600
Fax: (208) 785-1762
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $1,500.
Total Amount is formed as General ($1,500) + Research ($0) + Ownership ($0) = $1,500.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Lilly USA, LLC ($283).
Total Amount
$1,500
General + Research + Ownership
Payments
93
Total payment records
General Amount
$1,500
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
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: 2008-10-21
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 |
|---|---|---|---|---|
| I20081021000520 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 902 | 514 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 849 | 502 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 795 | 488 | $0 |
| 83036 | Hemoglobin a1c level | 787 | 463 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 484 | 395 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Registered Dietitian Or Nutrition Professional | ID | |
| E N D O C R I N O L O G Y | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Nurse Practitioner | ID | |
| Endocrinology, Internal Medicine | ID | |
| Registered Dietitian Or Nutrition Professional | ID |
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