JODI WILLIAMSEN (CNM) – Advanced Practice Midwife, NPI 1902993207
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JODI WILLIAMSEN (CNM)
205 N EAST AVE
JACKSON, MI 492011753
Phone: (517) 205-4800
Type: Location
1 Hurley Plz
SON, 5th Floor
Flint, MI 485035902
Phone: (810) 262-9353
Fax: (810) 262-6031
Type: Location
1560 Turf Ln
East Lansing, MI 488236392
Phone: (517) 484-3000
Fax: (517) 484-6358
Type: Location
1100 S Cedar St
Mason, MI 488542086
Phone: (517) 484-3000
Type: Location
5002 W Lemon St
Tampa, FL 336091104
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
5002 W LEMON ST
TAMPA, FL 336091104
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
PO BOX 25317
TAMPA, FL 336225317
Phone: (132) 860-0338
Fax: (813) 282-1806
Type: Mailing
Turf Lane, East Lansing, Clinton County, Michigan, 48912-5206, United States
EAST LANSING, MI 488236392
Phone: (517) 484-3000
Fax: (517) 484-6358
Type: Mailing
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Organon LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $14 |
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: 2022-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080616000466 | I | Certified Nurse Midwife (Cnm) | MI | TBD |
| I20220725001424 | I | Certified Nurse Midwife (Cnm) | FL | 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 49201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | MI | |
| - | MI |
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