CARRERA WILLIAMS – Family Nurse Practitioner, NPI 1548793011

CARRERA WILLIAMS is a healthcare provider. based in Poplar bluff, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2017010496 (MO). The NPI Number for CARRERA WILLIAMS is 1548793011

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CARRERA WILLIAMS
NPI
1548793011
Phone
(573) 776-7393
Address
2340 KATY LN
Enumeration Date
11 April 2017
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733359188
Graduation Year
2017 (9 years ago)
PAC ID
8527345859
Group Practice PAC ID
6103238936
Professional Enrollment ID
I20170515001195
Address ID
MO637034927CA5XXXXPARK300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for CARRERA WILLIAMS

  • Katy Lane, Loma Linda, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639012300

    Phone: (573) 776-7393

    Fax: (573) 776-7396

    Type: Mailing

  • 5 DOCTORS PARK

    CAPE GIRARDEAU, MO 637034927

    Phone: (573) 335-9188

    Fax: (573) 335-1838

    Type: Mailing

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: 2017-05-15

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
I20170515001195INurse 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
20553Injection of trigger points, 3 or more muscles32867$0
95851Measurement of range of motion in arm, leg or each spine section31247$0
99213Established patient office or other outpatient visit, 20-29 minutes18671$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance8125$0
99203New patient office or other outpatient visit, 30-44 minutes7878$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

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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: 6103238936View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

Is CARRERA WILLIAMS listed with a National Provider Identifier?
Yes — CARRERA WILLIAMS has NPI 1548793011 on file in the registry.
Would CARRERA WILLIAMS appear as active to a payer?
You can treat CARRERA WILLIAMS as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CARRERA WILLIAMS?
At a glance, CARRERA WILLIAMS is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CARRERA WILLIAMS located near Poplar Bluff?
CARRERA WILLIAMS currently maps to Poplar Bluff, Missouri in this extract.
When was this NPI issued?
Enumeration for CARRERA WILLIAMS is noted as April 11, 2017 where the registry provides it.

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