JACKIE RAE WILLIAMS (NP-C) – Nurse Practitioner, NPI 1194234146

JACKIE RAE WILLIAMS (NP-C) is a healthcare provider. based in Sandusky, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. APRN.CNP.021753 (OH). The NPI Number for JACKIE RAE WILLIAMS (NP-C) is 1194234146

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JACKIE RAE WILLIAMS (NP-C)
NPI
1194234146
Phone
(419) 706-0071
Address
2214 WESTWIND DR
Enumeration Date
21 September 2017
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195470700
Graduation Year
2017 (9 years ago)
PAC ID
3779830401
Group Practice PAC ID
6305810201
Professional Enrollment ID
I20180725003851
Address ID
OH434101010CL1470WHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for JACKIE RAE WILLIAMS (NP-C)

  • 2214 WESTWIND DR

    SANDUSKY, OH 448707010

    Phone: (419) 706-0071

    Type: Mailing

  • Milan Road, Sandusky, Erie County, Ohio, 44870, United States

    SANDUSKY, OH 448705846

    Phone: (419) 557-5052

    Type: Location

  • 5420 Milan Rd

    Sandusky, OH 448705846

    Phone: (419) 557-5052

    Type: Location

  • 703 TYLER ST STE 351

    SANDUSKY, OH 448703391

    Phone: (419) 621-7620

    Fax: (419) 621-7623

    Type: Location

  • Kilbourne Street, Bellevue, Sandusky County, Ohio, 44811, United States

    BELLEVUE, OH 448119549

    Phone: (419) 706-0071

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $2,771.

Total Amount is formed as General ($2,771) + Research ($0) + Ownership ($0) = $2,771.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($895).

Total Amount

$2,771

General + Research + Ownership

Payments

41

Total payment records

General Amount

$2,771

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2018-07-25

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
I20180725003851INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes344289$0
99214Established patient office or other outpatient visit, 30-39 minutes8072$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2221$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 44870)

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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: 6305810201View full group profile
NameSpecialtyState
Internal MedicineLA
Nurse PractitionerOH
General PracticeOH
Vascular SurgeryOH
P S Y C H I A T R YOH
Internal MedicineOH
Cardiovascular Disease (Cardiology)NV
Nurse PractitionerOH
Family PracticeOH
N E U R O S U R G E R YMI

Reviews

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Frequently asked questions

What number should I use to identify JACKIE RAE WILLIAMS (NP-C) for billing?
Administrative and clinical systems typically use NPI 1194234146 for JACKIE RAE WILLIAMS (NP-C).
Quick check: is JACKIE RAE WILLIAMS (NP-C) active?
Public NPPES data shows JACKIE RAE WILLIAMS (NP-C) with an active NPI status right now.
How should patients interpret JACKIE RAE WILLIAMS (NP-C)'s specialty?
The extract shows Nurse Practitioner for JACKIE RAE WILLIAMS (NP-C). Clinical services aligned with this taxonomy classification.
What city is tied to JACKIE RAE WILLIAMS (NP-C)?
The directory associates JACKIE RAE WILLIAMS (NP-C) with Sandusky, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for JACKIE RAE WILLIAMS (NP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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