AMY JO SORENSEN WILLIAMS – Family Nurse Practitioner, NPI 1124827597

AMY JO SORENSEN WILLIAMS is a healthcare provider. based in Pahrump, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. 821059 (NV). The NPI Number for AMY JO SORENSEN WILLIAMS is 1124827597

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMY JO SORENSEN WILLIAMS
NPI
1124827597
Phone
(775) 910-9811
Address
1280 E CALVADA BLVD
Enumeration Date
10 March 2025
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757515200
Graduation Year
2024 (2 years ago)
PAC ID
7416470893
Group Practice PAC ID
0143246124
Professional Enrollment ID
I20250326001875
Address ID
NV890486576PA2080XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for AMY JO SORENSEN WILLIAMS

  • 1280 E CALVADA BLVD

    PAHRUMP, NV 890485693

    Phone: (775) 910-9811

    Fax: (775) 548-3225

    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)

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: 2025-03-26

PECOS data refreshed: 2026-06-15

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
I20250326001875INurse PractitionerNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89048)

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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: 0143246124View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
P O D I A T R YCA

Reviews

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Frequently asked questions

Can I cross-check AMY JO SORENSEN WILLIAMS using NPI 1124827597?
NPI 1124827597 belongs to AMY JO SORENSEN WILLIAMS; compare other details if you need extra assurance.
Would AMY JO SORENSEN WILLIAMS appear as active to a payer?
You can treat AMY JO SORENSEN WILLIAMS as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is AMY JO SORENSEN WILLIAMS?
AMY JO SORENSEN WILLIAMS is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is AMY JO SORENSEN WILLIAMS associated with Pahrump?
Public fields place AMY JO SORENSEN WILLIAMS around Pahrump, Nevada. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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