DR. MARIA RENEA WILLIAMS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104784834

DR. MARIA RENEA WILLIAMS (APRN) is a healthcare provider. based in Merrillville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209033829 (IL). The NPI Number for DR. MARIA RENEA WILLIAMS (APRN) is 1104784834

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIA RENEA WILLIAMS (APRN)
NPI
1104784834
Phone
(573) 586-6372
Address
5899 MASSACHUSETTS ST
Enumeration Date
12 January 2026
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778839430
Graduation Year
2024 (2 years ago)
PAC ID
3274013180
Group Practice PAC ID
5193156115
Professional Enrollment ID
I20260218001941
Address ID
IL613699596TO101XXGHIG400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DR. MARIA RENEA WILLIAMS (APRN)

  • 5899 MASSACHUSETTS ST

    MERRILLVILLE, IN 464102650

    Phone: (573) 586-6372

    Type: Mailing

  • 820 S DAMEN AVE

    CHICAGO, IL 606123728

    Phone: (618) 699-0313

    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: 2026-02-18

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
I20260218001941INurse 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 46410)

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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: 5193156115View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerMO
Nurse PractitionerOR
Nurse PractitionerMI
Nurse PractitionerIL
Internal MedicineWA
Internal MedicineIA
Nurse PractitionerCA
Nurse PractitionerIL
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARIA RENEA WILLIAMS (APRN)?
NPI 1104784834 is assigned to DR. MARIA RENEA WILLIAMS (APRN) under the national enumeration system.
Is DR. MARIA RENEA WILLIAMS (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MARIA RENEA WILLIAMS (APRN)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for DR. MARIA RENEA WILLIAMS (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARIA RENEA WILLIAMS (APRN)?
The page summarizes Merrillville, Indiana for DR. MARIA RENEA WILLIAMS (APRN); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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