JENNIFER D WILLIAMS (MSN, FNP-BC) – Nurse Practitioner, NPI 1417380221

JENNIFER D WILLIAMS (MSN, FNP-BC) is a healthcare provider. based in Stevensville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC. They hold a License No. 4704230532 (MI). The NPI Number for JENNIFER D WILLIAMS (MSN, FNP-BC) is 1417380221

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER D WILLIAMS (MSN, FNP-BC)
NPI
1417380221
Phone
(269) 429-6604
Address
5515 CLEVELAND AVE
Enumeration Date
15 August 2013
Last Update Date
5 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694299644
Graduation Year
2013 (13 years ago)
PAC ID
3476780917
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20131209000768
Address ID
MI491279670ST5515XAVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JENNIFER D WILLIAMS (MSN, FNP-BC)

  • 5515 CLEVELAND AVE

    STEVENSVILLE, MI 491279670

    Phone: (269) 429-6604

    Fax: (269) 429-1715

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Abbott Laboratories ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$87
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: 2013-12-09

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
I20131209000768INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12167$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6464$0
36415Insertion of needle into vein for collection of blood sample4632$0
99215Established patient office or other outpatient visit, 40-54 minutes2318$0
99495Transitional care management services for problem of at least moderate complexity1211$0
View full utilization report →

Insurance plans in this area (ZIP 49127)

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Provider's Procedures

JENNIFER D WILLIAMS (MSN, FNP-BC) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMI81002Urinalysis, manual test1817
NURSE PRACTITIONERMI90670Pneumococcal vaccine for injection into muscle1111

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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is the registry number for JENNIFER D WILLIAMS (MSN, FNP-BC)?
The registry entry for JENNIFER D WILLIAMS (MSN, FNP-BC) shows NPI 1417380221.
Does the public listing show JENNIFER D WILLIAMS (MSN, FNP-BC) as active?
JENNIFER D WILLIAMS (MSN, FNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say JENNIFER D WILLIAMS (MSN, FNP-BC) does?
Insurance directories may phrase it differently, but here JENNIFER D WILLIAMS (MSN, FNP-BC) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER D WILLIAMS (MSN, FNP-BC) in Stevensville, Michigan?
For routing, start with Stevensville, Michigan for JENNIFER D WILLIAMS (MSN, FNP-BC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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