ANDREA WILLIAMS (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093193773

ANDREA WILLIAMS (NP) is a healthcare provider. based in Carbondale, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209012719 (IL). The NPI Number for ANDREA WILLIAMS (NP) is 1093193773

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA WILLIAMS (NP)
NPI
1093193773
Phone
(618) 529-4455
Address
409 W OAK ST
Enumeration Date
13 May 2015
Last Update Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185495361
Graduation Year
2014 (12 years ago)
PAC ID
1658682976
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20150612000787
Address ID
IL629011031CA2601XSTXX400

Contacts

Secure Messaging
awilliams15606@sih.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ANDREA WILLIAMS (NP)

  • 409 W OAK ST

    CARBONDALE, IL 629011414

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Mailing

  • 2601 W MAIN ST

    CARBONDALE, IL 629011031

    Phone: (618) 549-5361

    Fax: (618) 351-4878

    Type: Location

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,220.

Total Amount is formed as General ($1,220) + Research ($0) + Ownership ($0) = $1,220.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($307).

Total Amount

$1,220

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2015-06-12

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
I20150612000787INurse PractitionerILTBD

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 62901)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

Reviews

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Frequently asked questions

Can I verify ANDREA WILLIAMS (NP) with an NPI only?
You can start verification with NPI 1093193773 for ANDREA WILLIAMS (NP), then check state licensing separately.
Does the file indicate ANDREA WILLIAMS (NP) is practicing under active NPI?
Directory data currently reports ANDREA WILLIAMS (NP) as active.
What taxonomy line describes ANDREA WILLIAMS (NP)?
For research purposes, treat ANDREA WILLIAMS (NP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does ANDREA WILLIAMS (NP) list a practice location?
Patients near Carbondale, Illinois may find ANDREA WILLIAMS (NP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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