JESSICA ROSE WILLIAMS (PA-C) – Vascular Surgery Physician, NPI 1083123558
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JESSICA ROSE WILLIAMS (PA-C)
7474 GREENWAY CENTER DR STE 900
GREENBELT, MD 207703504
Phone: (301) 982-2000
Fax: (301) 982-2001
Type: Mailing
236 E IRVING PARK RD
WOOD DALE, IL 601912099
Phone: (301) 486-4690
Fax: (301) 441-8809
Type: Location
201, West Atlantic Avenue, Delray Beach, Palm Beach County, Florida, 33444, United States
DELRAY BEACH, FL 334453901
Phone: (561) 303-0013
Fax: (561) 499-3199
Type: Location
PO BOX 20800
BELFAST, ME 049154105
Phone: (888) 402-7256
Fax: (888) 902-1099
Type: Mailing
16215 S JOG RD STE 100
DELRAY BEACH, FL 334462387
Phone: (561) 303-0013
Fax: (561) 499-3199
Type: Location
Southwest 114th Avenue, Forest Lake, Cooper City, Broward County, Florida, 33314:33328, United States
COOPER CITY, FL 333304572
Phone: (954) 298-6990
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-02-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| I20171226001563 | I | Physician Assistant | FL | TBD |
| I20210910001455 | I | Physician Assistant | MI | TBD |
| I20210921003231 | I | Physician Assistant | IL | TBD |
| I20220202002028 | I | Physician Assistant | IN | TBD |
| I20230915002436 | I | Physician Assistant | VA | TBD |
| I20230922001875 | I | Physician Assistant | MD | TBD |
| I20231109003149 | I | Physician Assistant | CT | TBD |
| I20240502000473 | I | Physician Assistant | NY | TBD |
| I20240606001450 | I | Physician Assistant | NJ | TBD |
| I20250122001690 | I | Physician Assistant | DE | TBD |
| I20250212003868 | I | Physician Assistant | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20770)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | NY | |
| Nurse Practitioner | OH | |
| Physician Assistant | MI | |
| General Surgery | MD | |
| General Surgery | MI | |
| Physician Assistant | MI | |
| - | MI | |
| General Surgery | IN | |
| - | MI | |
| Nurse Practitioner | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.