ALICIA JUVONNA WILLIAMS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215687637

ALICIA JUVONNA WILLIAMS (PMHNP) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2022035598 (MO). The NPI Number for ALICIA JUVONNA WILLIAMS (PMHNP) is 1215687637

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA JUVONNA WILLIAMS (PMHNP)
NPI
1215687637
Phone
(417) 322-6622
Address
1505 E Bradford Pkwy
Enumeration Date
28 March 2022
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173226622
Graduation Year
2020 (6 years ago)
PAC ID
0840687505
Group Practice PAC ID
3971864588
Professional Enrollment ID
I20220920000589
Address ID
MO658077311SP3600XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:4State licenses:3Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for ALICIA JUVONNA WILLIAMS (PMHNP)

  • 1505 E Bradford Pkwy

    Springfield, MO 658046566

    Phone: (417) 322-6622

    Fax: (417) 350-1935

    Type: Location

  • 3600 S National Ave

    Springfield, MO 658077311

    Phone: (417) 322-6622

    Fax: (417) 350-1935

    Type: Location

  • 5548 N Farmer Branch Rd

    Ozark, MO 657215315

    Phone: (417) 322-6622

    Fax: (417) 350-1935

    Type: Location

  • 2000 S Promenade Blvd Ste 202

    Rogers, AR 727588609

    Phone: (479) 427-7722

    Fax: (479) 427-7721

    Type: Location

  • 2000 S PROMENADE BLVD STE 202

    ROGERS, AR 727588609

    Phone: (479) 427-7722

    Fax: (479) 427-7721

    Type: Location

  • 3600 S NATIONAL AVE

    SPRINGFIELD, MO 658077311

    Phone: (417) 322-6622

    Fax: (417) 350-1935

    Type: Mailing

  • 2005 W ELM ST

    ROGERS, AR 727584018

    Phone: (479) 427-7722

    Fax: (479) 427-7721

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $2,642.

Total Amount is formed as General ($2,642) + Research ($0) + Ownership ($0) = $2,642.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($456).

Total Amount

$2,642

General + Research + Ownership

Payments

140

Total payment records

General Amount

$2,642

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2022-09-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220427001380INurse PractitionerARTBD
I20220920000589INurse PractitionerMOTBD

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 minutes12571$0
90833Psychotherapy with evaluation and management visit, 30 minutes11067$0
80305Testing for presence of drug, read by direct observation2822$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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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: 3971864588View full group profile
NameSpecialtyState
Mental Health CounselorMO
P S Y C H I A T R YMO
Nurse PractitionerFL
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to ALICIA JUVONNA WILLIAMS (PMHNP)?
NPI 1215687637 is assigned to ALICIA JUVONNA WILLIAMS (PMHNP) under the national enumeration system.
Is ALICIA JUVONNA WILLIAMS (PMHNP)'s NPI currently valid?
The extract we use shows ALICIA JUVONNA WILLIAMS (PMHNP) as active.
What kind of provider is ALICIA JUVONNA WILLIAMS (PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for ALICIA JUVONNA WILLIAMS (PMHNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for ALICIA JUVONNA WILLIAMS (PMHNP)?
The page summarizes Springfield, Missouri for ALICIA JUVONNA WILLIAMS (PMHNP); 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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