CAMILLE A WILLIAMS-SIMMONS (NP) – Nurse Practitioner, NPI 1174716484

CAMILLE A WILLIAMS-SIMMONS (NP) is a healthcare provider. based in Dixmoor, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209.006484 041.26975 (IL). The NPI Number for CAMILLE A WILLIAMS-SIMMONS (NP) is 1174716484

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
CAMILLE A WILLIAMS-SIMMONS (NP)
NPI
1174716484
Phone
(708) 489-5488
Address
2025 W 142ND ST
Enumeration Date
20 August 2007
Last Update Date
1 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735226656
Graduation Year
2006 (20 years ago)
PAC ID
8325138209
Group Practice PAC ID
5991600405
Professional Enrollment ID
I20071214000709
Address ID
IL606081858CH1401XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for CAMILLE A WILLIAMS-SIMMONS (NP)

  • 2025, West 142nd Street, Dixmoor, Thornton Township, Cook County, Illinois, 60426, United States

    DIXMOOR, IL 604261173

    Phone: (708) 489-5488

    Type: Mailing

  • 110, Schiller Street, Elmhurst, DuPage County, Illinois, 60126, United States

    SUITE 319

    ELMHURST, IL 601262858

    Phone: (630) 832-1775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($27).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-12-14

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
I20071214000709INurse 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 60426)

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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: 5991600405View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Diagnostic Radiology, Interventional RadiologyIL
Radiation Oncology, Diagnostic RadiologyIL
Hematology/Oncology, Internal MedicineIL
Endocrinology, Internal MedicineIL
Internal MedicineIL
Internal Medicine, Sleep MedicineIL
-IL
P A T H O L O G YIL
General Surgery, Colorectal Surgery (Proctology)IL

Reviews

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Frequently asked questions

Is there an official ID for CAMILLE A WILLIAMS-SIMMONS (NP) in U.S. healthcare records?
The official identifier for CAMILLE A WILLIAMS-SIMMONS (NP) is NPI 1174716484.
Active or inactive — what applies to CAMILLE A WILLIAMS-SIMMONS (NP)?
You should see CAMILLE A WILLIAMS-SIMMONS (NP) as active in CMS-hosted NPPES data.
What expertise is attributed to CAMILLE A WILLIAMS-SIMMONS (NP)?
CAMILLE A WILLIAMS-SIMMONS (NP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CAMILLE A WILLIAMS-SIMMONS (NP) associated with Dixmoor?
Public fields place CAMILLE A WILLIAMS-SIMMONS (NP) around Dixmoor, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for CAMILLE A WILLIAMS-SIMMONS (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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